Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $5,248.07 / $11,748.98	Facility		$1,174.90	$5,248.07	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $977.24 / $2,754.23	Professional		$776.25	$977.24	$2,754.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $11,481.54 / $18,620.87	Facility		$4,786.30	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $2,137.96	Professional		$691.83	$870.96	$2,137.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,630.27 / $12,302.69	Facility		$1,202.26	$2,630.27	$12,302.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $50,118.72	Facility		$1,445.44	$1,445.44	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,288.25 / $3,890.45	Professional		$851.14	$1,288.25	$3,890.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,122.02 / $3,090.30	Facility		$954.99	$1,122.02	$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 $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,122.02 / $1,819.70	Professional		$741.31	$1,122.02	$1,819.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $50,118.72 / $75,857.76	Facility		$891.25	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,122.02 / $2,290.87	Professional		$398.11	$1,122.02	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,456.54 / $16,982.44	Facility		$2,454.71	$6,456.54	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $2,570.40	Professional		$741.31	$1,047.13	$2,570.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,023.29 / $4,073.80	Facility		$691.83	$1,023.29	$4,073.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $2,570.40	Professional		$691.83	$1,047.13	$2,570.40