Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,248.07 / $11,748.98	Facility		$1,288.25	$5,248.07	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $2,511.89	Professional		$870.96	$1,071.52	$2,511.89
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 $776.25 / $912.01 / $1,819.70	Professional		$776.25	$912.01	$1,819.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $10,964.78	Facility		$1,348.96	$1,348.96	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,621.81 / $7,762.47	Facility		$34.67	$1,621.81	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,380.38 / $3,467.37	Professional		$776.25	$1,380.38	$3,467.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,202.26 / $3,548.13	Facility		$933.25	$1,202.26	$3,548.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $2,137.96	Professional		$1,047.13	$1,348.96	$2,137.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,288.25 / $1,995.26	Professional		$724.44	$1,288.25	$1,995.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $50,118.72 / $75,857.76	Facility		$912.01	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,288.25 / $2,238.72	Professional		$398.11	$1,288.25	$2,238.72
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 $724.44 / $1,047.13 / $2,454.71	Professional		$724.44	$1,047.13	$2,454.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,148.15 / $3,388.44	Facility		$776.25	$1,148.15	$3,388.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,148.15 / $2,290.87	Professional		$776.25	$1,148.15	$2,290.87