Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $4,677.35 / $10,964.78	Facility		$933.25	$4,677.35	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,862.09	Professional		$602.56	$758.58	$1,862.09
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 $512.86 / $660.69 / $1,698.24	Professional		$512.86	$660.69	$1,698.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,398.83 / $10,964.78	Facility		$954.99	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $50,118.72	Facility		$1,148.15	$1,148.15	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,023.29 / $3,090.30	Professional		$676.08	$1,023.29	$3,090.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $954.99 / $2,511.89	Facility		$758.58	$954.99	$2,511.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,479.11	Professional		$741.31	$1,023.29	$1,479.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $891.25 / $1,445.44	Professional		$575.44	$891.25	$1,445.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $50,118.72 / $75,857.76	Facility		$707.95	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $870.96 / $1,862.09	Professional		$398.11	$870.96	$1,862.09
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 $575.44 / $831.76 / $1,995.26	Professional		$575.44	$831.76	$1,995.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $812.83 / $3,162.28	Facility		$549.54	$812.83	$3,162.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $831.76 / $2,041.74	Professional		$549.54	$831.76	$2,041.74