Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,715.35 / $9,120.11	Facility		$1,318.26	$3,715.35	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $2,691.53	Professional		$912.01	$1,148.15	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $2,511.89	Professional		$831.76	$1,023.29	$2,511.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,162.28 / $12,882.50	Facility		$1,412.54	$3,162.28	$12,882.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,698.24 / $50,118.72	Facility		$34.67	$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 $691.83 / $1,122.02 / $2,884.03	Facility		$691.83	$1,122.02	$2,884.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $2,137.96	Professional		$1,071.52	$1,479.11	$2,137.96
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 $812.83 / $1,318.26 / $2,137.96	Professional		$812.83	$1,318.26	$2,137.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $50,118.72 / $75,857.76	Facility		$1,479.11	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $2,630.27	Professional		$1,148.15	$1,445.44	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,265.80 / $9,549.93	Facility		$2,041.74	$4,265.80	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $3,090.30	Professional		$851.14	$1,202.26	$3,090.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,202.26 / $2,630.27	Facility		$812.83	$1,202.26	$2,630.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,230.27 / $2,691.53	Professional		$812.83	$1,230.27	$2,691.53