Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,235.94 / $10,964.78	Facility		$1,778.28	$3,235.94	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $4,073.80	Professional		$1,348.96	$1,737.80	$4,073.80
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 $1,148.15 / $1,513.56 / $3,801.89	Professional		$1,148.15	$1,513.56	$3,801.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $37,153.52	Facility		$1,949.84	$1,949.84	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,398.83 / $53,703.18	Facility		$34.67	$2,398.83	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,570.40 / $6,760.83	Professional		$1,380.38	$2,570.40	$6,760.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,884.03 / $5,248.07	Facility		$1,621.81	$2,884.03	$5,248.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,041.74 / $2,818.38	Professional		$1,479.11	$2,041.74	$2,818.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,621.81 / $2,570.40	Professional		$977.24	$1,621.81	$2,570.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $50,118.72 / $75,857.76	Facility		$1,548.82	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,819.70 / $2,238.72	Professional		$398.11	$1,819.70	$2,238.72
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 $1,348.96 / $1,819.70 / $4,073.80	Professional		$1,348.96	$1,819.70	$4,073.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $5,248.07	Facility		$1,122.02	$1,737.80	$5,248.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,737.80 / $5,248.07	Professional		$977.24	$1,737.80	$5,248.07