Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,162.28 / $10,964.78	Facility		$1,288.25	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $3,019.95	Professional		$1,000.00	$1,258.93	$3,019.95
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 $831.76 / $1,096.48 / $2,884.03	Professional		$831.76	$1,096.48	$2,884.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $37,153.52	Facility		$1,412.54	$1,412.54	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,737.80 / $53,703.18	Facility		$34.67	$1,737.80	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,905.46 / $5,011.87	Professional		$1,000.00	$1,905.46	$5,011.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,737.80 / $3,801.89	Facility		$1,174.90	$1,737.80	$3,801.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $2,041.74	Professional		$1,071.52	$1,479.11	$2,041.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,174.90 / $1,862.09	Professional		$691.83	$1,174.90	$1,862.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $50,118.72 / $75,857.76	Facility		$1,096.48	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,318.26 / $1,621.81	Professional		$398.11	$1,318.26	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $8,128.31 / $18,197.01	Facility		$2,818.38	$8,128.31	$18,197.01
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,951.21	Professional		$977.24	$1,318.26	$2,951.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,258.93 / $3,890.45	Facility		$812.83	$1,258.93	$3,890.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,258.93 / $3,801.89	Professional		$691.83	$1,258.93	$3,801.89