Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,801.89 / $10,232.93	Facility		$794.33	$3,801.89	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $1,513.56	Professional		$512.86	$645.65	$1,513.56
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 $446.68 / $562.34 / $1,445.44	Professional		$446.68	$562.34	$1,445.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,698.24 / $6,165.95	Facility		$812.83	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $50,118.72	Facility		$977.24	$977.24	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $2,511.89	Professional		$575.44	$851.14	$2,511.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $676.08 / $1,698.24	Facility		$416.87	$676.08	$1,698.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,258.93	Professional		$630.96	$870.96	$1,258.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $758.58 / $1,230.27	Professional		$467.74	$758.58	$1,230.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $50,118.72 / $75,857.76	Facility		$575.44	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $758.58 / $1,584.89	Professional		$398.11	$758.58	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,128.61 / $11,481.54	Facility		$2,344.23	$5,128.61	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $707.95 / $1,737.80	Professional		$489.78	$707.95	$1,737.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $691.83 / $2,511.89	Facility		$467.74	$691.83	$2,511.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $724.44 / $1,621.81	Professional		$467.74	$724.44	$1,621.81