Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,162.28 / $9,332.54	Facility		$1,122.02	$3,162.28	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $2,398.83	Professional		$724.44	$912.01	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $2,238.72	Professional		$676.08	$851.14	$2,238.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $37,153.52	Facility		$1,122.02	$1,122.02	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,348.96 / $50,118.72	Facility		$34.67	$1,348.96	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,318.26 / $3,715.35	Professional		$812.83	$1,318.26	$3,715.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,288.25 / $2,691.53	Facility		$831.76	$1,288.25	$2,691.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,584.89	Professional		$794.33	$1,071.52	$1,584.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,023.29 / $1,659.59	Professional		$707.95	$1,023.29	$1,659.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $50,118.72 / $75,857.76	Facility		$912.01	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,071.52 / $1,737.80	Professional		$398.11	$1,071.52	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,456.54 / $16,982.44	Facility		$2,454.71	$6,456.54	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $2,511.89	Professional		$707.95	$1,000.00	$2,511.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,318.26 / $3,981.07	Facility		$645.65	$1,318.26	$3,981.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,023.29 / $2,137.96	Professional		$645.65	$1,023.29	$2,137.96