Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,162.28 / $10,964.78	Facility		$1,258.93	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,174.90 / $3,019.95	Professional		$954.99	$1,174.90	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $2,818.38	Professional		$794.33	$1,023.29	$2,818.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $6,165.95	Facility		$1,348.96	$1,348.96	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,621.81 / $50,118.72	Facility		$34.67	$1,621.81	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,819.70 / $5,011.87	Professional		$1,000.00	$1,819.70	$5,011.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,737.80 / $3,467.37	Facility		$954.99	$1,737.80	$3,467.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $1,862.09	Professional		$1,071.52	$1,348.96	$1,862.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,096.48 / $1,737.80	Professional		$691.83	$1,096.48	$1,737.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $50,118.72 / $75,857.76	Facility		$4,786.30	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,258.93 / $1,584.89	Professional		$398.11	$1,258.93	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,128.61 / $11,481.54	Facility		$2,398.83	$5,128.61	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $2,884.03	Professional		$912.01	$1,258.93	$2,884.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,174.90 / $3,890.45	Facility		$758.58	$1,174.90	$3,890.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,174.90 / $3,388.44	Professional		$691.83	$1,174.90	$3,388.44