Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,162.28 / $10,964.78	Facility		$1,412.54	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $2,630.27	Professional		$1,047.13	$1,230.27	$2,630.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $5,623.41 / $12,302.69	Facility		$3,311.31	$5,623.41	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $2,137.96	Professional		$912.01	$1,071.52	$2,137.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $37,153.52	Facility		$1,584.89	$1,584.89	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,995.26 / $7,762.47	Facility		$34.67	$1,995.26	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,584.89 / $4,073.80	Professional		$831.76	$1,584.89	$4,073.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $4,168.69	Facility		$1,000.00	$1,479.11	$4,168.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $2,630.27	Professional		$1,288.25	$1,659.59	$2,630.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,412.54 / $2,454.71	Professional		$851.14	$1,412.54	$2,454.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $50,118.72 / $75,857.76	Facility		$1,071.52	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,479.11 / $2,691.53	Professional		$398.11	$1,479.11	$2,691.53
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 $851.14 / $1,230.27 / $2,818.38	Professional		$851.14	$1,230.27	$2,818.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,380.38 / $3,715.35	Facility		$933.25	$1,380.38	$3,715.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,380.38 / $2,951.21	Professional		$933.25	$1,380.38	$2,951.21