Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,630.78 / $10,964.78	Facility		$1,348.96	$3,630.78	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $3,090.30	Professional		$1,023.29	$1,318.26	$3,090.30
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 $870.96 / $1,122.02 / $2,818.38	Professional		$870.96	$1,122.02	$2,818.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $37,153.52	Facility		$1,479.11	$1,479.11	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
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 $1,047.13 / $1,905.46 / $5,128.61	Professional		$1,047.13	$1,905.46	$5,128.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,041.74 / $3,981.07	Facility		$1,230.27	$2,041.74	$3,981.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $2,137.96	Professional		$1,122.02	$1,548.82	$2,137.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,230.27 / $1,949.84	Professional		$724.44	$1,230.27	$1,949.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $50,118.72 / $75,857.76	Facility		$1,122.02	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,380.38 / $1,698.24	Professional		$398.11	$1,380.38	$1,698.24
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 $1,000.00 / $1,348.96 / $3,090.30	Professional		$1,000.00	$1,348.96	$3,090.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,318.26 / $3,715.35	Facility		$851.14	$1,318.26	$3,715.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,318.26 / $3,981.07	Professional		$724.44	$1,318.26	$3,981.07