Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,677.35 / $10,964.78	Facility		$1,513.56	$4,677.35	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $3,090.30	Professional		$1,000.00	$1,288.25	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,220.18 / $19,054.61	Facility		$5,011.87	$11,220.18	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $2,754.23	Professional		$870.96	$1,096.48	$2,754.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $12,882.50	Facility		$1,548.82	$1,548.82	$12,882.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,862.09 / $50,118.72	Facility		$34.67	$1,862.09	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $5,011.87	Professional		$1,096.48	$1,659.59	$5,011.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $3,981.07	Facility		$1,122.02	$1,621.81	$3,981.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $2,398.83	Professional		$1,202.26	$1,659.59	$2,398.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,445.44 / $2,344.23	Professional		$912.01	$1,445.44	$2,344.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $50,118.72 / $75,857.76	Facility		$1,122.02	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,445.44 / $3,019.95	Professional		$398.11	$1,445.44	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $15,488.17	Facility		$2,398.83	$5,888.44	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,348.96 / $3,388.44	Professional		$954.99	$1,348.96	$3,388.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,318.26 / $4,073.80	Facility		$912.01	$1,318.26	$4,073.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,348.96 / $2,818.38	Professional		$912.01	$1,348.96	$2,818.38