Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,981.07 / $9,120.11	Facility		$1,348.96	$3,981.07	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $3,388.44	Professional		$977.24	$1,288.25	$3,388.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $9,772.37 / $18,620.87	Facility		$4,570.88	$9,772.37	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $2,754.23	Professional		$851.14	$1,096.48	$2,754.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $12,302.69	Facility		$1,513.56	$1,513.56	$12,302.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,819.70 / $50,118.72	Facility		$34.67	$1,819.70	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,819.70 / $4,786.30	Professional		$724.44	$1,819.70	$4,786.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $3,548.13	Facility		$1,071.52	$1,412.54	$3,548.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,862.09	Professional		$977.24	$1,288.25	$1,862.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,380.38 / $2,290.87	Professional		$933.25	$1,380.38	$2,290.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $50,118.72 / $75,857.76	Facility		$1,148.15	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,412.54 / $2,290.87	Professional		$398.11	$1,412.54	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,128.61 / $12,882.50	Facility		$2,398.83	$5,128.61	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $3,162.28	Professional		$831.76	$1,202.26	$3,162.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,174.90 / $3,715.35	Facility		$870.96	$1,174.90	$3,715.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,288.25 / $3,388.44	Professional		$870.96	$1,288.25	$3,388.44