Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,715.35 / $9,120.11	Facility		$891.25	$3,715.35	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $1,659.59	Professional		$588.84	$724.44	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $5,888.44 / $12,302.69	Facility		$3,311.31	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $537.03 / $1,230.27	Professional		$457.09	$537.03	$1,230.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,698.24 / $6,165.95	Facility		$954.99	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $5,754.40	Facility		$1,148.15	$1,412.54	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $933.25 / $2,454.71	Professional		$575.44	$933.25	$2,454.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $851.14 / $2,511.89	Facility		$691.83	$851.14	$2,511.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,513.56	Professional		$741.31	$954.99	$1,513.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $851.14 / $1,412.54	Professional		$512.86	$851.14	$1,412.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $50,118.72 / $75,857.76	Facility		$645.65	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $891.25 / $1,737.80	Professional		$398.11	$891.25	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,897.79 / $11,220.18	Facility		$2,137.96	$4,897.79	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $1,698.24	Professional		$524.81	$724.44	$1,698.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $794.33 / $2,398.83	Facility		$537.03	$794.33	$2,398.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $794.33 / $1,698.24	Professional		$537.03	$794.33	$1,698.24