Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $5,248.07 / $11,748.98	Facility		$1,445.44	$5,248.07	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,174.90 / $2,818.38	Professional		$954.99	$1,174.90	$2,818.38
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 $870.96 / $1,096.48 / $2,630.27	Professional		$870.96	$1,096.48	$2,630.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $37,153.52	Facility		$1,479.11	$1,479.11	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,778.28 / $50,118.72	Facility		$34.67	$1,778.28	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,621.81 / $4,786.30	Professional		$1,047.13	$1,621.81	$4,786.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,174.90 / $3,162.28	Facility		$776.25	$1,174.90	$3,162.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $2,187.76	Professional		$1,096.48	$1,513.56	$2,187.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,380.38 / $2,187.76	Professional		$933.25	$1,380.38	$2,187.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $50,118.72 / $75,857.76	Facility		$1,174.90	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,380.38 / $2,290.87	Professional		$398.11	$1,380.38	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $14,791.08	Facility		$2,398.83	$5,888.44	$14,791.08
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,318.26 / $3,235.94	Professional		$912.01	$1,318.26	$3,235.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,258.93 / $5,754.40	Facility		$851.14	$1,258.93	$5,754.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,288.25 / $2,884.03	Professional		$851.14	$1,288.25	$2,884.03