Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,890.45 / $11,481.54	Facility		$1,230.27	$3,890.45	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $2,884.03	Professional		$851.14	$1,174.90	$2,884.03
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 $794.33 / $1,023.29 / $2,884.03	Professional		$794.33	$1,023.29	$2,884.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,995.26 / $8,912.51	Facility		$1,230.27	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,698.24	Professional		$1,230.27	$1,230.27	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $50,118.72	Facility		$1,479.11	$1,862.09	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,698.24 / $4,365.16	Professional		$707.95	$1,698.24	$4,365.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,023.29 / $3,019.95	Facility		$851.14	$1,023.29	$3,019.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,862.09 / $2,691.53	Professional		$1,548.82	$1,862.09	$2,691.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,621.81 / $2,951.21	Professional		$891.25	$1,621.81	$2,951.21
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 / $1,548.82 / $2,570.40	Professional		$398.11	$1,548.82	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,365.16 / $10,964.78	Facility		$2,137.96	$4,365.16	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,202.26 / $3,019.95	Professional		$758.58	$1,202.26	$3,019.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,047.13 / $3,311.31	Facility		$707.95	$1,047.13	$3,311.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,548.82 / $3,090.30	Professional		$891.25	$1,548.82	$3,090.30