Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,162.28 / $10,964.78	Facility		$1,513.56	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $2,951.21	Professional		$1,148.15	$1,412.54	$2,951.21
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 $1,023.29 / $1,202.26 / $2,398.83	Professional		$1,023.29	$1,202.26	$2,398.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $37,153.52	Facility		$1,778.28	$1,778.28	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,187.76 / $7,762.47	Facility		$34.67	$2,187.76	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,778.28 / $4,570.88	Professional		$933.25	$1,778.28	$4,570.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,513.56 / $4,073.80	Facility		$1,000.00	$1,513.56	$4,073.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $2,818.38	Professional		$1,380.38	$1,778.28	$2,818.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,698.24 / $2,630.27	Professional		$954.99	$1,698.24	$2,630.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $50,118.72 / $75,857.76	Facility		$1,202.26	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,698.24 / $2,951.21	Professional		$398.11	$1,698.24	$2,951.21
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 $933.25 / $1,380.38 / $3,235.94	Professional		$933.25	$1,380.38	$3,235.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $4,168.69	Facility		$1,023.29	$1,513.56	$4,168.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $3,388.44	Professional		$1,023.29	$1,513.56	$3,388.44