Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,162.28 / $10,964.78	Facility		$1,230.27	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $2,630.27	Professional		$891.25	$1,096.48	$2,630.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $11,481.54 / $18,620.87	Facility		$4,786.30	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $2,454.71	Professional		$794.33	$1,023.29	$2,454.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $10,964.78	Facility		$1,380.38	$1,380.38	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,659.59 / $50,118.72	Facility		$34.67	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,479.11 / $4,570.88	Professional		$977.24	$1,479.11	$4,570.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $3,548.13	Facility		$1,023.29	$1,445.44	$3,548.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $2,089.30	Professional		$1,047.13	$1,445.44	$2,089.30
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,288.25 / $2,089.30	Professional		$831.76	$1,288.25	$2,089.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $50,118.72 / $75,857.76	Facility		$1,023.29	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,288.25 / $2,137.96	Professional		$398.11	$1,288.25	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,456.54 / $16,982.44	Facility		$2,454.71	$6,456.54	$16,982.44
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 $794.33 / $1,174.90 / $4,365.16	Facility		$794.33	$1,174.90	$4,365.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,202.26 / $2,951.21	Professional		$794.33	$1,202.26	$2,951.21