Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,162.28 / $10,964.78	Facility		$1,584.89	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $3,801.89	Professional		$1,258.93	$1,584.89	$3,801.89
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 $1,047.13 / $1,380.38 / $3,630.78	Professional		$1,047.13	$1,380.38	$3,630.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $37,153.52	Facility		$1,778.28	$1,778.28	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,137.96 / $53,703.18	Facility		$34.67	$2,137.96	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,398.83 / $6,309.57	Professional		$1,258.93	$2,398.83	$6,309.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $4,786.30	Facility		$1,479.11	$1,995.26	$4,786.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $2,570.40	Professional		$1,318.26	$1,819.70	$2,570.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,479.11 / $2,344.23	Professional		$870.96	$1,479.11	$2,344.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $50,118.72 / $75,857.76	Facility		$1,380.38	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,659.59 / $2,041.74	Professional		$398.11	$1,659.59	$2,041.74
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 $1,230.27 / $1,659.59 / $3,715.35	Professional		$1,230.27	$1,659.59	$3,715.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $4,786.30	Facility		$1,023.29	$1,584.89	$4,786.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,584.89 / $4,786.30	Professional		$870.96	$1,584.89	$4,786.30