Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,365.16 / $10,471.29	Facility		$851.14	$4,365.16	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $691.83 / $1,621.81	Professional		$549.54	$691.83	$1,621.81
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 $501.19 / $630.96 / $1,548.82	Professional		$501.19	$630.96	$1,548.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,995.26 / $8,912.51	Facility		$870.96	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $50,118.72	Facility		$1,047.13	$1,047.13	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $891.25 / $2,570.40	Professional		$602.56	$891.25	$2,570.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $912.01 / $2,290.87	Facility		$630.96	$912.01	$2,290.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,348.96	Professional		$676.08	$933.25	$1,348.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $812.83 / $1,318.26	Professional		$489.78	$812.83	$1,318.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $50,118.72 / $75,857.76	Facility		$562.34	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $812.83 / $1,698.24	Professional		$398.11	$812.83	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,128.61 / $12,882.50	Facility		$2,344.23	$5,128.61	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $741.31 / $1,862.09	Professional		$512.86	$741.31	$1,862.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $741.31 / $2,290.87	Facility		$501.19	$741.31	$2,290.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $758.58 / $1,621.81	Professional		$501.19	$758.58	$1,621.81