Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,630.78 / $10,964.78	Facility		$1,230.27	$3,630.78	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $2,691.53	Professional		$851.14	$1,122.02	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $8,511.38 / $16,595.87	Facility		$4,466.84	$8,511.38	$16,595.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $2,511.89	Professional		$758.58	$1,000.00	$2,511.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $37,153.52	Facility		$1,318.26	$1,318.26	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,584.89 / $50,118.72	Facility		$34.67	$1,584.89	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,698.24 / $4,265.80	Professional		$933.25	$1,698.24	$4,265.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $3,548.13	Facility		$1,023.29	$1,202.26	$3,548.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $1,862.09	Professional		$1,000.00	$1,318.26	$1,862.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $1,949.84	Professional		$776.25	$1,174.90	$1,949.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $50,118.72 / $75,857.76	Facility		$977.24	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,258.93 / $2,041.74	Professional		$398.11	$1,258.93	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,168.69 / $9,332.54	Facility		$1,513.56	$4,168.69	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $2,818.38	Professional		$776.25	$1,071.52	$2,818.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,000.00 / $2,951.21	Facility		$741.31	$1,000.00	$2,951.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,122.02 / $2,884.03	Professional		$741.31	$1,122.02	$2,884.03