Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,311.31 / $10,964.78	Facility		$1,819.70	$3,311.31	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $3,981.07	Professional		$1,412.54	$1,778.28	$3,981.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,220.18 / $19,054.61	Facility		$5,011.87	$11,220.18	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $3,801.89	Professional		$1,202.26	$1,548.82	$3,801.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $37,153.52	Facility		$2,041.74	$2,041.74	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,454.71 / $50,118.72	Facility		$34.67	$2,454.71	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,511.89 / $6,456.54	Professional		$1,380.38	$2,511.89	$6,456.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,344.23 / $5,370.32	Facility		$1,659.59	$2,344.23	$5,370.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $2,884.03	Professional		$1,513.56	$2,089.30	$2,884.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,659.59 / $2,630.27	Professional		$977.24	$1,659.59	$2,630.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $50,118.72 / $75,857.76	Facility		$1,445.44	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,905.46 / $2,344.23	Professional		$398.11	$1,905.46	$2,344.23
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 $1,318.26 / $1,862.09 / $4,265.80	Professional		$1,318.26	$1,862.09	$4,265.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,778.28 / $4,677.35	Facility		$1,148.15	$1,778.28	$4,677.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,778.28 / $5,370.32	Professional		$977.24	$1,778.28	$5,370.32