Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,168.69 / $10,964.78	Facility		$1,096.48	$4,168.69	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $2,238.72	Professional		$707.95	$912.01	$2,238.72
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 / $812.83 / $1,995.26	Professional		$660.69	$812.83	$1,995.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,398.83 / $10,964.78	Facility		$1,230.27	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $50,118.72	Facility		$1,412.54	$1,412.54	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,174.90 / $3,467.37	Professional		$794.33	$1,174.90	$3,467.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,096.48 / $3,235.94	Facility		$912.01	$1,096.48	$3,235.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $1,949.84	Professional		$1,000.00	$1,348.96	$1,949.84
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 $630.96 / $1,096.48 / $1,819.70	Professional		$630.96	$1,096.48	$1,819.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $50,118.72 / $75,857.76	Facility		$4,786.30	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,096.48 / $2,344.23	Professional		$398.11	$1,096.48	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,128.61 / $11,481.54	Facility		$2,344.23	$5,128.61	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $2,511.89	Professional		$707.95	$1,000.00	$2,511.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,023.29 / $3,311.31	Facility		$691.83	$1,023.29	$3,311.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,023.29 / $2,290.87	Professional		$630.96	$1,023.29	$2,290.87