Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $4,168.69 / $10,964.78	Facility		$1,348.96	$4,168.69	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $2,951.21	Professional		$954.99	$1,202.26	$2,951.21
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 / $2,691.53	Professional		$870.96	$1,096.48	$2,691.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,398.83 / $10,964.78	Facility		$1,479.11	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $50,118.72	Facility		$1,819.70	$1,819.70	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $4,897.79	Professional		$1,047.13	$1,584.89	$4,897.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,202.26 / $3,801.89	Facility		$977.24	$1,202.26	$3,801.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $2,238.72	Professional		$1,122.02	$1,548.82	$2,238.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,380.38 / $2,238.72	Professional		$870.96	$1,380.38	$2,238.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $50,118.72 / $75,857.76	Facility		$1,096.48	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,380.38 / $2,884.03	Professional		$398.11	$1,380.38	$2,884.03
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 $912.01 / $1,318.26 / $3,235.94	Professional		$912.01	$1,318.26	$3,235.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,258.93 / $4,897.79	Facility		$870.96	$1,258.93	$4,897.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,288.25 / $3,162.28	Professional		$870.96	$1,288.25	$3,162.28