Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,162.28 / $10,964.78	Facility		$1,412.54	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $3,235.94	Professional		$1,071.52	$1,380.38	$3,235.94
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 $912.01 / $1,202.26 / $3,019.95	Professional		$912.01	$1,202.26	$3,019.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $37,153.52	Facility		$1,548.82	$1,548.82	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,862.09 / $50,118.72	Facility		$34.67	$1,862.09	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,995.26 / $5,248.07	Professional		$1,096.48	$1,995.26	$5,248.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,137.96 / $4,265.80	Facility		$1,288.25	$2,137.96	$4,265.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $2,238.72	Professional		$1,288.25	$1,659.59	$2,238.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,288.25 / $1,995.26	Professional		$812.83	$1,288.25	$1,995.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $50,118.72 / $75,857.76	Facility		$4,786.30	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,445.44 / $1,778.28	Professional		$398.11	$1,445.44	$1,778.28
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 $1,047.13 / $1,412.54 / $3,235.94	Professional		$1,047.13	$1,412.54	$3,235.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,380.38 / $3,801.89	Facility		$891.25	$1,380.38	$3,801.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,380.38 / $4,168.69	Professional		$812.83	$1,380.38	$4,168.69