Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,981.07 / $12,022.64	Facility		$1,348.96	$3,981.07	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $3,090.30	Professional		$1,047.13	$1,318.26	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $2,951.21	Professional		$891.25	$1,148.15	$2,951.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $8,912.51	Facility		$1,479.11	$1,479.11	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,819.70 / $50,118.72	Facility		$34.67	$1,819.70	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,995.26 / $4,897.79	Professional		$1,047.13	$1,995.26	$4,897.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,202.26 / $3,715.35	Facility		$912.01	$1,202.26	$3,715.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $2,089.30	Professional		$1,071.52	$1,479.11	$2,089.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,230.27 / $1,949.84	Professional		$724.44	$1,230.27	$1,949.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $50,118.72 / $75,857.76	Facility		$1,122.02	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,412.54 / $1,737.80	Professional		$398.11	$1,412.54	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,311.31 / $6,165.95	Facility		$1,445.44	$3,311.31	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $3,162.28	Professional		$954.99	$1,380.38	$3,162.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,318.26 / $2,951.21	Facility		$851.14	$1,318.26	$2,951.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,318.26 / $2,951.21	Professional		$724.44	$1,318.26	$2,951.21