Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $5,370.32 / $10,964.78	Facility		$1,819.70	$5,370.32	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $1,258.93	Professional		$302.00	$407.38	$1,258.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $234.42 / $588.84	Professional		$186.21	$234.42	$588.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $37,153.52	Facility		$457.09	$457.09	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $575.44 / $50,118.72	Facility		$34.67	$575.44	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $776.25 / $1,737.80	Professional		$346.74	$776.25	$1,737.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $616.60 / $1,288.25	Facility		$239.88	$616.60	$1,288.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $371.54 / $1,479.11	Professional		$263.03	$371.54	$1,479.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,122.02 / $1,698.24	Professional		$691.83	$1,122.02	$1,698.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
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 $181.97 / $331.13 / $1,047.13	Professional		$181.97	$331.13	$1,047.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $870.96 / $1,318.26	Facility		$660.69	$870.96	$1,318.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,000.00 / $2,041.74	Professional		$616.60	$1,000.00	$2,041.74