Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,801.89 / $10,964.78	Facility		$1,174.90	$3,801.89	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $1,949.84	Professional		$794.33	$933.25	$1,949.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,762.47 / $13,803.84	Facility		$3,890.45	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $1,659.59	Professional		$676.08	$794.33	$1,659.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $12,302.69	Facility		$1,202.26	$1,202.26	$12,302.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,412.54 / $7,762.47	Facility		$34.67	$1,412.54	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,202.26 / $3,019.95	Professional		$676.08	$1,202.26	$3,019.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,047.13 / $3,019.95	Facility		$776.25	$1,047.13	$3,019.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,122.02 / $1,778.28	Professional		$912.01	$1,122.02	$1,778.28
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,122.02 / $1,778.28	Professional		$741.31	$1,122.02	$1,778.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $50,118.72 / $75,857.76	Facility		$1,000.00	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,096.48 / $2,238.72	Professional		$398.11	$1,096.48	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $5,495.41 / $13,803.84	Facility		$2,238.72	$5,495.41	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $2,089.30	Professional		$630.96	$912.01	$2,089.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,000.00 / $3,388.44	Facility		$691.83	$1,000.00	$3,388.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,071.52 / $2,187.76	Professional		$691.83	$1,071.52	$2,187.76