Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $4,677.35 / $10,964.78	Facility		$794.33	$4,677.35	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $645.65 / $1,548.82	Professional		$524.81	$645.65	$1,548.82
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 $467.74 / $588.84 / $1,445.44	Professional		$467.74	$588.84	$1,445.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,398.83 / $10,964.78	Facility		$812.83	$2,398.83	$10,964.78
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 / $2,570.40	Professional		$575.44	$851.14	$2,570.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $676.08 / $1,862.09	Facility		$457.09	$676.08	$1,862.09
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 $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
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 $501.19 / $707.95 / $1,737.80	Professional		$501.19	$707.95	$1,737.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $691.83 / $2,570.40	Facility		$478.63	$691.83	$2,570.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $707.95 / $1,659.59	Professional		$478.63	$707.95	$1,659.59