Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,162.28 / $10,964.78	Facility		$1,659.59	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $4,073.80	Professional		$1,318.26	$1,621.81	$4,073.80
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 $1,096.48 / $1,445.44 / $3,630.78	Professional		$1,096.48	$1,445.44	$3,630.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $37,153.52	Facility		$1,862.09	$1,862.09	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,238.72 / $53,703.18	Facility		$34.67	$2,238.72	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,511.89 / $6,918.31	Professional		$1,348.96	$2,511.89	$6,918.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $4,897.79	Facility		$1,513.56	$1,995.26	$4,897.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $2,630.27	Professional		$1,380.38	$1,905.46	$2,630.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,513.56 / $2,398.83	Professional		$912.01	$1,513.56	$2,398.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $50,118.72 / $75,857.76	Facility		$1,479.11	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,737.80 / $2,137.96	Professional		$398.11	$1,737.80	$2,137.96
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 $1,258.93 / $1,737.80 / $3,890.45	Professional		$1,258.93	$1,737.80	$3,890.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,659.59 / $5,128.61	Facility		$1,047.13	$1,659.59	$5,128.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,659.59 / $4,897.79	Professional		$912.01	$1,659.59	$4,897.79