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 / $9,332.54	Facility		$1,071.52	$3,801.89	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $933.25 / $2,187.76	Professional		$741.31	$933.25	$2,187.76
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 $660.69 / $831.76 / $2,041.74	Professional		$660.69	$831.76	$2,041.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $6,165.95	Facility		$1,148.15	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $50,118.72	Facility		$1,380.38	$1,380.38	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,230.27 / $3,630.78	Professional		$812.83	$1,230.27	$3,630.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,148.15 / $3,090.30	Facility		$851.14	$1,148.15	$3,090.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,819.70	Professional		$912.01	$1,258.93	$1,819.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,096.48 / $1,737.80	Professional		$660.69	$1,096.48	$1,737.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $50,118.72 / $75,857.76	Facility		$812.83	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,071.52 / $2,238.72	Professional		$398.11	$1,071.52	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,365.16 / $11,481.54	Facility		$2,041.74	$4,365.16	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $2,454.71	Professional		$691.83	$977.24	$2,454.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $977.24 / $3,019.95	Facility		$676.08	$977.24	$3,019.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,000.00 / $2,187.76	Professional		$676.08	$1,000.00	$2,187.76