Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,162.28 / $10,964.78	Facility		$1,479.11	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $3,467.37	Professional		$1,148.15	$1,445.44	$3,467.37
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 $977.24 / $1,258.93 / $3,162.28	Professional		$977.24	$1,258.93	$3,162.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $37,153.52	Facility		$1,659.59	$1,659.59	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,995.26 / $53,703.18	Facility		$34.67	$1,995.26	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,187.76 / $5,754.40	Professional		$1,148.15	$2,187.76	$5,754.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $4,466.84	Facility		$1,380.38	$1,778.28	$4,466.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $2,398.83	Professional		$1,230.27	$1,698.24	$2,398.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,348.96 / $2,137.96	Professional		$794.33	$1,348.96	$2,137.96
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 $398.11 / $1,548.82 / $1,905.46	Professional		$398.11	$1,548.82	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $8,511.38 / $27,542.29	Facility		$2,818.38	$8,511.38	$27,542.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $3,467.37	Professional		$1,122.02	$1,513.56	$3,467.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,479.11 / $4,365.16	Facility		$933.25	$1,479.11	$4,365.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,479.11 / $4,365.16	Professional		$794.33	$1,479.11	$4,365.16