Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,162.28 / $10,964.78	Facility		$1,513.56	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $3,890.45	Professional		$1,174.90	$1,479.11	$3,890.45
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 $977.24 / $1,288.25 / $3,235.94	Professional		$977.24	$1,288.25	$3,235.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $37,153.52	Facility		$1,659.59	$1,659.59	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,041.74 / $53,703.18	Facility		$34.67	$2,041.74	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,137.96 / $5,623.41	Professional		$1,174.90	$2,137.96	$5,623.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,238.72 / $4,570.88	Facility		$1,412.54	$2,238.72	$4,570.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,398.83	Professional		$1,258.93	$1,737.80	$2,398.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,380.38 / $2,187.76	Professional		$812.83	$1,380.38	$2,187.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $50,118.72 / $75,857.76	Facility		$1,258.93	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,548.82 / $1,905.46	Professional		$398.11	$1,548.82	$1,905.46
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 $1,148.15 / $1,548.82 / $3,548.13	Professional		$1,148.15	$1,548.82	$3,548.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,479.11 / $4,365.16	Facility		$954.99	$1,479.11	$4,365.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,479.11 / $4,466.84	Professional		$812.83	$1,479.11	$4,466.84