Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,162.28 / $10,964.78	Facility		$1,230.27	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $2,344.23	Professional		$933.25	$1,096.48	$2,344.23
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 $831.76 / $977.24 / $1,949.84	Professional		$831.76	$977.24	$1,949.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $37,153.52	Facility		$1,445.44	$1,445.44	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,737.80 / $7,762.47	Facility		$34.67	$1,737.80	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,412.54 / $3,715.35	Professional		$851.14	$1,412.54	$3,715.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $3,715.35	Facility		$1,047.13	$1,479.11	$3,715.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $2,238.72	Professional		$1,096.48	$1,412.54	$2,238.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,348.96 / $2,137.96	Professional		$776.25	$1,348.96	$2,137.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $50,118.72 / $75,857.76	Facility		$977.24	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,348.96 / $2,344.23	Professional		$398.11	$1,348.96	$2,344.23
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 $758.58 / $1,122.02 / $2,630.27	Professional		$758.58	$1,122.02	$2,630.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,202.26 / $3,548.13	Facility		$812.83	$1,202.26	$3,548.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $2,570.40	Professional		$812.83	$1,202.26	$2,570.40