Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $6,606.93 / $15,848.93	Facility		$1,445.44	$6,606.93	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $3,467.37	Professional		$1,023.29	$1,318.26	$3,467.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,481.54 / $20,892.96	Facility		$5,011.87	$11,481.54	$20,892.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $3,019.95	Professional		$912.01	$1,174.90	$3,019.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,786.30 / $51,286.14	Facility		$34.67	$4,786.30	$51,286.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,862.09 / $4,897.79	Professional		$1,047.13	$1,862.09	$4,897.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,819.70 / $3,630.78	Facility		$1,122.02	$1,819.70	$3,630.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $1,949.84	Professional		$1,023.29	$1,412.54	$1,949.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,202.26 / $1,905.46	Professional		$776.25	$1,202.26	$1,905.46
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 $1,174.90 / $1,479.11 / $1,698.24	Professional		$1,174.90	$1,479.11	$1,698.24
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 $977.24 / $1,380.38 / $3,235.94	Professional		$977.24	$1,380.38	$3,235.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,318.26 / $1,479.11	Facility		$831.76	$1,318.26	$1,479.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,202.26 / $2,089.30	Professional		$776.25	$1,202.26	$2,089.30