Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,090.30 / $7,762.47	Facility		$870.96	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $724.44 / $1,778.28	Professional		$602.56	$724.44	$1,778.28
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 $501.19 / $645.65 / $1,548.82	Professional		$501.19	$645.65	$1,548.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,258.93 / $4,073.80	Facility		$954.99	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $50,118.72	Facility		$1,122.02	$1,122.02	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,000.00 / $2,884.03	Professional		$660.69	$1,000.00	$2,884.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $776.25 / $1,819.70	Facility		$257.04	$776.25	$1,819.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,548.82	Professional		$776.25	$1,071.52	$1,548.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $891.25 / $1,445.44	Professional		$549.54	$891.25	$1,445.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $50,118.72 / $75,857.76	Facility		$676.08	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $851.14 / $1,862.09	Professional		$398.11	$851.14	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,981.07 / $8,709.64	Facility		$1,819.70	$3,981.07	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,995.26	Professional		$562.34	$794.33	$1,995.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $812.83 / $2,691.53	Facility		$549.54	$812.83	$2,691.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $851.14 / $1,737.80	Professional		$549.54	$851.14	$1,737.80