Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,162.28 / $10,964.78	Facility		$891.25	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $794.33 / $1,819.70	Professional		$630.96	$794.33	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $5,888.44 / $12,302.69	Facility		$3,311.31	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $660.69 / $1,380.38	Professional		$562.34	$660.69	$1,380.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $37,153.52	Facility		$977.24	$977.24	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,230.27 / $7,762.47	Facility		$34.67	$1,230.27	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,000.00 / $2,511.89	Professional		$588.84	$1,000.00	$2,511.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,071.52 / $2,691.53	Facility		$741.31	$1,071.52	$2,691.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,584.89	Professional		$776.25	$1,023.29	$1,584.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $912.01 / $1,445.44	Professional		$549.54	$912.01	$1,445.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $50,118.72 / $75,857.76	Facility		$691.83	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $912.01 / $1,621.81	Professional		$398.11	$912.01	$1,621.81
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 $537.03 / $758.58 / $1,737.80	Professional		$537.03	$758.58	$1,737.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $812.83 / $2,570.40	Facility		$562.34	$812.83	$2,570.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $812.83 / $1,737.80	Professional		$562.34	$812.83	$1,737.80