Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,162.28 / $10,964.78	Facility		$1,548.82	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $3,162.28	Professional		$1,148.15	$1,412.54	$3,162.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $2,454.71	Professional		$1,047.13	$1,230.27	$2,454.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $37,153.52	Facility		$1,819.70	$1,819.70	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
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 $1,047.13 / $1,778.28 / $4,570.88	Professional		$1,047.13	$1,778.28	$4,570.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $4,570.88	Facility		$1,096.48	$1,659.59	$4,570.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $2,951.21	Professional		$1,445.44	$1,862.09	$2,951.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,621.81 / $2,691.53	Professional		$954.99	$1,621.81	$2,691.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $50,118.72 / $75,857.76	Facility		$1,174.90	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,698.24 / $3,019.95	Professional		$398.11	$1,698.24	$3,019.95
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 $954.99 / $1,380.38 / $3,235.94	Professional		$954.99	$1,380.38	$3,235.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $3,981.07	Facility		$1,047.13	$1,513.56	$3,981.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $3,235.94	Professional		$1,047.13	$1,513.56	$3,235.94