Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,168.69 / $10,964.78	Facility		$1,202.26	$4,168.69	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $2,187.76	Professional		$758.58	$1,000.00	$2,187.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,762.47 / $13,803.84	Facility		$3,981.07	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $2,344.23	Professional		$758.58	$954.99	$2,344.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,398.83 / $10,964.78	Facility		$1,148.15	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $50,118.72	Facility		$1,380.38	$1,380.38	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,380.38 / $3,548.13	Professional		$794.33	$1,380.38	$3,548.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,148.15 / $2,754.23	Facility		$831.76	$1,148.15	$2,754.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $1,621.81	Professional		$812.83	$1,148.15	$1,621.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,071.52 / $1,698.24	Professional		$707.95	$1,071.52	$1,698.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $50,118.72 / $75,857.76	Facility		$933.25	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,122.02 / $2,137.96	Professional		$398.11	$1,122.02	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $13,803.84	Facility		$2,398.83	$5,888.44	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $2,454.71	Professional		$707.95	$1,000.00	$2,454.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $954.99 / $4,073.80	Facility		$660.69	$954.99	$4,073.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $2,454.71	Professional		$707.95	$1,000.00	$2,454.71