Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,265.80 / $10,964.78	Facility		$1,096.48	$4,265.80	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $912.01 / $2,238.72	Professional		$741.31	$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 $616.60 / $776.25 / $1,995.26	Professional		$616.60	$776.25	$1,995.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,995.26 / $8,912.51	Facility		$1,202.26	$1,995.26	$8,912.51
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 $1,380.38 / $1,380.38 / $50,118.72	Facility		$1,380.38	$1,380.38	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,258.93 / $3,630.78	Professional		$831.76	$1,258.93	$3,630.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $3,235.94	Facility		$891.25	$1,071.52	$3,235.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $1,905.46	Professional		$954.99	$1,318.26	$1,905.46
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,096.48 / $1,778.28	Professional		$691.83	$1,096.48	$1,778.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $50,118.72 / $75,857.76	Facility		$851.14	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,071.52 / $2,290.87	Professional		$398.11	$1,071.52	$2,290.87
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 / $2,454.71	Professional		$707.95	$1,000.00	$2,454.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,000.00 / $3,890.45	Facility		$691.83	$1,000.00	$3,890.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $2,454.71	Professional		$691.83	$1,047.13	$2,454.71