Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,981.07 / $10,232.93	Facility		$1,479.11	$3,981.07	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $3,890.45	Professional		$1,122.02	$1,445.44	$3,890.45
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 $977.24 / $1,230.27 / $3,162.28	Professional		$977.24	$1,230.27	$3,162.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $12,302.69	Facility		$1,737.80	$1,737.80	$12,302.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,089.30 / $50,118.72	Facility		$34.67	$2,089.30	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $2,137.96 / $5,370.32	Professional		$831.76	$2,137.96	$5,370.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $4,073.80	Facility		$1,230.27	$1,584.89	$4,073.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,137.96	Professional		$1,122.02	$1,479.11	$2,137.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $2,630.27	Professional		$1,047.13	$1,584.89	$2,630.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $50,118.72 / $75,857.76	Facility		$1,318.26	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,621.81 / $2,630.27	Professional		$398.11	$1,621.81	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,128.61 / $14,454.40	Facility		$2,398.83	$5,128.61	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $3,630.78	Professional		$954.99	$1,380.38	$3,630.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $4,265.80	Facility		$1,000.00	$1,318.26	$4,265.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $3,890.45	Professional		$1,000.00	$1,479.11	$3,890.45