Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,235.94 / $10,964.78	Facility		$1,698.24	$3,235.94	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $3,715.35	Professional		$1,318.26	$1,698.24	$3,715.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,370.32 / $12,302.69	Facility		$2,884.03	$5,370.32	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $3,630.78	Professional		$1,148.15	$1,479.11	$3,630.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $37,153.52	Facility		$1,949.84	$1,949.84	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,398.83 / $50,118.72	Facility		$34.67	$2,398.83	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,454.71 / $6,165.95	Professional		$1,174.90	$2,454.71	$6,165.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,621.81 / $4,265.80	Facility		$1,047.13	$1,621.81	$4,265.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $2,754.23	Professional		$1,445.44	$1,995.26	$2,754.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,621.81 / $2,570.40	Professional		$954.99	$1,621.81	$2,570.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $50,118.72 / $75,857.76	Facility		$1,348.96	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,819.70 / $2,238.72	Professional		$398.11	$1,819.70	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $4,265.80 / $9,549.93	Facility		$1,659.59	$4,265.80	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $4,168.69	Professional		$1,288.25	$1,778.28	$4,168.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,778.28 / $4,570.88	Facility		$1,122.02	$1,778.28	$4,570.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,698.24 / $3,981.07	Professional		$954.99	$1,698.24	$3,981.07