Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,801.89 / $10,232.93	Facility		$1,071.52	$3,801.89	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $851.14 / $2,089.30	Professional		$691.83	$851.14	$2,089.30
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 $602.56 / $758.58 / $1,905.46	Professional		$602.56	$758.58	$1,905.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $6,165.95	Facility		$1,071.52	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $50,118.72	Facility		$1,318.26	$1,318.26	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $3,467.37	Professional		$758.58	$1,148.15	$3,467.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $954.99 / $2,818.38	Facility		$794.33	$954.99	$2,818.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,659.59	Professional		$831.76	$1,148.15	$1,659.59
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,023.29 / $1,621.81	Professional		$630.96	$1,023.29	$1,621.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $50,118.72 / $75,857.76	Facility		$776.25	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,000.00 / $2,089.30	Professional		$398.11	$1,000.00	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,128.61 / $12,882.50	Facility		$2,344.23	$5,128.61	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $933.25 / $2,344.23	Professional		$660.69	$933.25	$2,344.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $933.25 / $3,388.44	Facility		$630.96	$933.25	$3,388.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $933.25 / $2,238.72	Professional		$630.96	$933.25	$2,238.72