Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $4,365.16 / $10,964.78	Facility		$1,230.27	$4,365.16	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $2,570.40	Professional		$870.96	$1,047.13	$2,570.40
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 $812.83 / $1,023.29 / $2,238.72	Professional		$812.83	$1,023.29	$2,238.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $12,302.69	Facility		$1,412.54	$1,412.54	$12,302.69
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 / $1,698.24 / $50,118.72	Facility		$34.67	$1,698.24	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,288.25 / $3,548.13	Professional		$758.58	$1,288.25	$3,548.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,071.52 / $2,398.83	Facility		$575.44	$1,071.52	$2,398.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,230.27 / $2,089.30	Professional		$1,071.52	$1,230.27	$2,089.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,202.26 / $1,862.09	Professional		$707.95	$1,202.26	$1,862.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $50,118.72 / $75,857.76	Facility		$891.25	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,202.26 / $1,548.82	Professional		$398.11	$1,202.26	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $13,803.84	Facility		$2,398.83	$5,888.44	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,071.52 / $2,398.83	Professional		$707.95	$1,071.52	$2,398.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,202.26 / $3,467.37	Facility		$812.83	$1,202.26	$3,467.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,258.93 / $3,548.13	Professional		$707.95	$1,258.93	$3,548.13