Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,162.28 / $10,964.78	Facility		$1,348.96	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $3,162.28	Professional		$1,000.00	$1,258.93	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,762.47 / $13,803.84	Facility		$4,073.80	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,096.48 / $2,818.38	Professional		$831.76	$1,096.48	$2,818.38
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 / $50,118.72	Facility		$34.67	$1,737.80	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,905.46 / $5,248.07	Professional		$1,023.29	$1,905.46	$5,248.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,995.26 / $3,715.35	Facility		$1,148.15	$1,995.26	$3,715.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $1,995.26	Professional		$1,023.29	$1,412.54	$1,995.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,819.70	Professional		$724.44	$954.99	$1,819.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $50,118.72 / $75,857.76	Facility		$1,202.26	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,318.26 / $1,659.59	Professional		$398.11	$1,318.26	$1,659.59
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 $954.99 / $1,318.26 / $3,019.95	Professional		$954.99	$1,318.26	$3,019.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,258.93 / $4,168.69	Facility		$812.83	$1,258.93	$4,168.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,258.93 / $3,801.89	Professional		$741.31	$1,258.93	$3,801.89