Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $5,248.07 / $11,748.98	Facility		$1,318.26	$5,248.07	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $2,884.03	Professional		$891.25	$1,096.48	$2,884.03
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 $794.33 / $977.24 / $2,398.83	Professional		$794.33	$977.24	$2,398.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,630.27 / $12,302.69	Facility		$1,445.44	$2,630.27	$12,302.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $50,118.72	Facility		$1,698.24	$1,698.24	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $4,365.16	Professional		$1,000.00	$1,479.11	$4,365.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,202.26 / $3,388.44	Facility		$831.76	$1,202.26	$3,388.44
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 $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,348.96 / $2,187.76	Professional		$831.76	$1,348.96	$2,187.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $50,118.72 / $75,857.76	Facility		$1,023.29	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,318.26 / $2,818.38	Professional		$398.11	$1,318.26	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $14,791.08	Facility		$2,398.83	$5,888.44	$14,791.08
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $2,951.21	Professional		$831.76	$1,202.26	$2,951.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,230.27 / $4,466.84	Facility		$831.76	$1,230.27	$4,466.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,258.93 / $2,951.21	Professional		$831.76	$1,258.93	$2,951.21