Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $5,248.07 / $11,748.98	Facility		$1,479.11	$5,248.07	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $3,090.30	Professional		$1,023.29	$1,258.93	$3,090.30
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 $933.25 / $1,148.15 / $2,818.38	Professional		$933.25	$1,148.15	$2,818.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $37,153.52	Facility		$1,584.89	$1,584.89	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,905.46 / $50,118.72	Facility		$34.67	$1,905.46	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $5,128.61	Professional		$1,122.02	$1,698.24	$5,128.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $3,981.07	Facility		$1,174.90	$1,621.81	$3,981.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,398.83	Professional		$1,202.26	$1,621.81	$2,398.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,479.11 / $2,344.23	Professional		$933.25	$1,479.11	$2,344.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $50,118.72 / $75,857.76	Facility		$1,148.15	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,479.11 / $2,398.83	Professional		$398.11	$1,479.11	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,456.54 / $16,595.87	Facility		$2,454.71	$6,456.54	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,380.38 / $3,467.37	Professional		$977.24	$1,380.38	$3,467.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,348.96 / $5,011.87	Facility		$912.01	$1,348.96	$5,011.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,412.54 / $3,090.30	Professional		$912.01	$1,412.54	$3,090.30