Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,162.28 / $10,964.78	Facility		$977.24	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $851.14 / $2,041.74	Professional		$691.83	$851.14	$2,041.74
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 $602.56 / $776.25 / $1,778.28	Professional		$602.56	$776.25	$1,778.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $8,912.51	Facility		$1,148.15	$1,148.15	$8,912.51
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 $34.67 / $1,318.26 / $50,118.72	Facility		$34.67	$1,318.26	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,148.15 / $3,311.31	Professional		$776.25	$1,148.15	$3,311.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,202.26 / $3,090.30	Facility		$851.14	$1,202.26	$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 $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,047.13 / $1,698.24	Professional		$630.96	$1,047.13	$1,698.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $50,118.72 / $75,857.76	Facility		$776.25	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,023.29 / $2,187.76	Professional		$398.11	$1,023.29	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,365.16 / $9,549.93	Facility		$2,041.74	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $2,344.23	Professional		$660.69	$954.99	$2,344.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $954.99 / $3,548.13	Facility		$645.65	$954.99	$3,548.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,000.00 / $2,290.87	Professional		$630.96	$1,000.00	$2,290.87