Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,162.28 / $10,964.78	Facility		$1,258.93	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,096.48 / $2,238.72	Professional		$912.01	$1,096.48	$2,238.72
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 $812.83 / $954.99 / $2,041.74	Professional		$812.83	$954.99	$2,041.74
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 / $1,698.24 / $7,762.47	Facility		$34.67	$1,698.24	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,548.82 / $3,715.35	Professional		$954.99	$1,548.82	$3,715.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,737.80 / $3,801.89	Facility		$1,148.15	$1,737.80	$3,801.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $2,290.87	Professional		$1,122.02	$1,445.44	$2,290.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,318.26 / $2,089.30	Professional		$851.14	$1,318.26	$2,089.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $50,118.72 / $75,857.76	Facility		$1,047.13	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,348.96 / $2,398.83	Professional		$398.11	$1,348.96	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,073.80 / $9,120.11	Facility		$1,412.54	$4,073.80	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $2,570.40	Professional		$812.83	$1,096.48	$2,570.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,174.90 / $4,073.80	Facility		$794.33	$1,174.90	$4,073.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,174.90 / $2,511.89	Professional		$794.33	$1,174.90	$2,511.89