Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $5,370.32 / $14,125.38	Facility		$1,230.27	$5,370.32	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $933.25 / $2,290.87	Professional		$741.31	$933.25	$2,290.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,481.54 / $23,988.33	Facility		$5,011.87	$11,481.54	$23,988.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $2,041.74	Professional		$660.69	$831.76	$2,041.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,630.27 / $12,302.69	Facility		$1,148.15	$2,630.27	$12,302.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $50,118.72	Facility		$1,380.38	$1,380.38	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,230.27 / $3,715.35	Professional		$812.83	$1,230.27	$3,715.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,202.26 / $2,951.21	Facility		$912.01	$1,202.26	$2,951.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,778.28	Professional		$891.25	$1,202.26	$1,778.28
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,071.52 / $1,737.80	Professional		$691.83	$1,071.52	$1,737.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $50,118.72 / $75,857.76	Facility		$870.96	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,071.52 / $2,238.72	Professional		$398.11	$1,071.52	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $7,413.10 / $34,673.69	Facility		$2,398.83	$7,413.10	$34,673.69
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $2,511.89	Professional		$707.95	$1,000.00	$2,511.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $977.24 / $3,801.89	Facility		$660.69	$977.24	$3,801.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,000.00 / $2,454.71	Professional		$660.69	$1,000.00	$2,454.71