Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,801.89 / $10,964.78	Facility		$1,288.25	$3,801.89	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $2,290.87	Professional		$933.25	$1,174.90	$2,290.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,481.54 / $26,302.68	Facility		$5,011.87	$11,481.54	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $2,630.27	Professional		$812.83	$1,071.52	$2,630.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $37,153.52	Facility		$1,348.96	$1,348.96	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,621.81 / $53,703.18	Facility		$34.67	$1,621.81	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,737.80 / $4,466.84	Professional		$954.99	$1,737.80	$4,466.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $3,467.37	Facility		$1,000.00	$1,380.38	$3,467.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $1,862.09	Professional		$977.24	$1,348.96	$1,862.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,096.48 / $1,737.80	Professional		$707.95	$1,096.48	$1,737.80
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 $1,071.52 / $1,348.96 / $1,584.89	Professional		$1,071.52	$1,348.96	$1,584.89
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 $912.01 / $1,258.93 / $2,884.03	Professional		$912.01	$1,258.93	$2,884.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,202.26 / $1,862.09	Facility		$758.58	$1,202.26	$1,862.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,202.26 / $1,995.26	Professional		$707.95	$1,202.26	$1,995.26