Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,235.94 / $10,964.78	Facility		$1,737.80	$3,235.94	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $4,570.88	Professional		$1,380.38	$1,737.80	$4,570.88
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 $1,174.90 / $1,513.56 / $3,890.45	Professional		$1,174.90	$1,513.56	$3,890.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $37,153.52	Facility		$1,995.26	$1,995.26	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
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 $1,412.54 / $2,630.27 / $6,918.31	Professional		$1,412.54	$2,630.27	$6,918.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,951.21 / $5,248.07	Facility		$1,621.81	$2,951.21	$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 $954.99 / $1,621.81 / $2,570.40	Professional		$954.99	$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 / $1,862.09 / $2,290.87	Professional		$398.11	$1,862.09	$2,290.87
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 / $4,168.69	Professional		$1,348.96	$1,819.70	$4,168.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,778.28 / $5,495.41	Facility		$1,122.02	$1,778.28	$5,495.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,778.28 / $5,248.07	Professional		$954.99	$1,778.28	$5,248.07