Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,754.40 / $12,589.25	Facility		$1,047.13	$5,754.40	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $724.44 / $1,659.59	Professional		$602.56	$724.44	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,220.18 / $19,054.61	Facility		$5,011.87	$11,220.18	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $616.60 / $1,258.93	Professional		$524.81	$616.60	$1,258.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $37,153.52	Facility		$912.01	$912.01	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,122.02 / $30,199.52	Facility		$34.67	$1,122.02	$30,199.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $977.24 / $2,398.83	Professional		$616.60	$977.24	$2,398.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,148.15 / $2,630.27	Facility		$676.08	$1,148.15	$2,630.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,479.11	Professional		$741.31	$954.99	$1,479.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $870.96 / $1,513.56	Professional		$524.81	$870.96	$1,513.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $50,118.72 / $75,857.76	Facility		$6,456.54	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $1,698.24	Professional		$794.33	$933.25	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $6,309.57 / $18,620.87	Facility		$2,398.83	$6,309.57	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $1,659.59	Professional		$524.81	$724.44	$1,659.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $776.25 / $1,047.13	Facility		$489.78	$776.25	$1,047.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $776.25 / $1,621.81	Professional		$524.81	$776.25	$1,621.81