Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $5,248.07 / $12,022.64	Facility		$1,513.56	$5,248.07	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $2,951.21	Professional		$1,000.00	$1,230.27	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $2,884.03	Professional		$933.25	$1,174.90	$2,884.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $37,153.52	Facility		$1,584.89	$1,584.89	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,949.84 / $50,118.72	Facility		$34.67	$1,949.84	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $5,128.61	Professional		$1,096.48	$1,659.59	$5,128.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $4,677.35	Facility		$1,288.25	$1,548.82	$4,677.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $2,818.38	Professional		$1,412.54	$1,905.46	$2,818.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,479.11 / $2,398.83	Professional		$831.76	$1,479.11	$2,398.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $50,118.72 / $75,857.76	Facility		$1,023.29	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,479.11 / $2,398.83	Professional		$398.11	$1,479.11	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,606.93 / $17,782.79	Facility		$2,454.71	$6,606.93	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,412.54 / $3,630.78	Professional		$954.99	$1,412.54	$3,630.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,905.46 / $4,265.80	Facility		$912.01	$1,905.46	$4,265.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,479.11 / $3,019.95	Professional		$912.01	$1,479.11	$3,019.95