Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $5,370.32 / $12,022.64	Facility		$1,659.59	$5,370.32	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $3,162.28	Professional		$1,148.15	$1,348.96	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,220.18 / $19,054.61	Facility		$5,011.87	$11,220.18	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $2,398.83	Professional		$933.25	$1,096.48	$2,398.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $12,302.69	Facility		$1,778.28	$1,778.28	$12,302.69
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 / $2,137.96 / $43,651.58	Facility		$34.67	$2,137.96	$43,651.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,778.28 / $4,570.88	Professional		$1,000.00	$1,778.28	$4,570.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $4,677.35	Facility		$1,258.93	$1,548.82	$4,677.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $2,754.23	Professional		$1,348.96	$1,778.28	$2,754.23
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 $977.24 / $1,584.89 / $2,630.27	Professional		$977.24	$1,584.89	$2,630.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $50,118.72 / $75,857.76	Facility		$1,230.27	$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 $2,570.40 / $7,943.28 / $20,417.38	Facility		$2,570.40	$7,943.28	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,380.38 / $3,235.94	Professional		$977.24	$1,380.38	$3,235.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $4,466.84	Facility		$1,023.29	$1,479.11	$4,466.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $3,090.30	Professional		$1,023.29	$1,479.11	$3,090.30