Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $3,467.37 / $7,762.47	Facility		$446.68	$3,467.37	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $616.60 / $4,466.84	Professional		$234.42	$616.60	$4,466.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,951.21 / $5,011.87	Professional		$1,995.26	$2,951.21	$5,011.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $4,073.80	Facility		$338.84	$338.84	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $3,890.45	Professional		$338.84	$338.84	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $407.38 / $43,651.58	Facility		$34.67	$407.38	$43,651.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $831.76 / $6,456.54	Professional		$288.40	$831.76	$6,456.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $323.59 / $812.83	Facility		$229.09	$323.59	$812.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,715.35 / $5,888.44	Professional		$3,019.95	$3,715.35	$5,888.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,884.03 / $4,897.79	Professional		$1,621.81	$2,884.03	$4,897.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $50,118.72 / $75,857.76	Facility		$213.80	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,890.45 / $6,309.57	Professional		$3,162.28	$3,890.45	$6,309.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,630.78 / $8,128.31	Facility		$1,698.24	$3,630.78	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $602.56 / $4,365.16	Professional		$208.93	$602.56	$4,365.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $288.40 / $549.54	Facility		$194.98	$288.40	$549.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $2,754.23 / $4,365.16	Professional		$467.74	$2,754.23	$4,365.16