Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,248.07 / $11,748.98	Facility		$1,288.25	$5,248.07	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $2,570.40	Professional		$831.76	$1,047.13	$2,570.40
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 $758.58 / $954.99 / $2,344.23	Professional		$758.58	$954.99	$2,344.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $37,153.52	Facility		$1,288.25	$1,288.25	$37,153.52
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 $34.67 / $1,584.89 / $50,118.72	Facility		$34.67	$1,584.89	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,380.38 / $4,168.69	Professional		$912.01	$1,380.38	$4,168.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,348.96 / $3,311.31	Facility		$954.99	$1,348.96	$3,311.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $1,995.26	Professional		$1,000.00	$1,380.38	$1,995.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,202.26 / $1,949.84	Professional		$758.58	$1,202.26	$1,949.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $50,118.72 / $75,857.76	Facility		$912.01	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,202.26 / $1,995.26	Professional		$398.11	$1,202.26	$1,995.26
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 $794.33 / $1,122.02 / $2,818.38	Professional		$794.33	$1,122.02	$2,818.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,096.48 / $3,981.07	Facility		$758.58	$1,096.48	$3,981.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $2,630.27	Professional		$758.58	$1,122.02	$2,630.27