Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,168.69 / $10,964.78	Facility		$1,148.15	$4,168.69	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $2,398.83	Professional		$812.83	$1,023.29	$2,398.83
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 $741.31 / $933.25 / $2,290.87	Professional		$741.31	$933.25	$2,290.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,398.83 / $10,964.78	Facility		$1,288.25	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $50,118.72	Facility		$1,548.82	$1,548.82	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,348.96 / $3,981.07	Professional		$891.25	$1,348.96	$3,981.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $3,311.31	Facility		$1,000.00	$1,174.90	$3,311.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $1,949.84	Professional		$977.24	$1,348.96	$1,949.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,202.26 / $1,905.46	Professional		$724.44	$1,202.26	$1,905.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $50,118.72 / $75,857.76	Facility		$1,000.00	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,174.90 / $2,454.71	Professional		$398.11	$1,174.90	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $13,489.63	Facility		$2,398.83	$5,888.44	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $2,754.23	Professional		$776.25	$1,122.02	$2,754.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,096.48 / $4,073.80	Facility		$741.31	$1,096.48	$4,073.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,122.02 / $2,511.89	Professional		$741.31	$1,122.02	$2,511.89