Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,162.28 / $10,964.78	Facility		$1,412.54	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $3,548.13	Professional		$1,047.13	$1,288.25	$3,548.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,762.47 / $13,803.84	Facility		$4,073.80	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $2,884.03	Professional		$933.25	$1,174.90	$2,884.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $37,153.52	Facility		$1,621.81	$1,621.81	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,949.84 / $50,118.72	Facility		$34.67	$1,949.84	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,862.09 / $5,128.61	Professional		$977.24	$1,862.09	$5,128.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $3,890.45	Facility		$1,174.90	$1,548.82	$3,890.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $2,041.74	Professional		$1,071.52	$1,412.54	$2,041.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,659.59 / $2,818.38	Professional		$891.25	$1,659.59	$2,818.38
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 / $1,513.56 / $2,511.89	Professional		$398.11	$1,513.56	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,168.69 / $9,332.54	Facility		$1,513.56	$4,168.69	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,258.93 / $3,388.44	Professional		$870.96	$1,258.93	$3,388.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,479.11 / $3,981.07	Facility		$933.25	$1,479.11	$3,981.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,479.11 / $3,630.78	Professional		$912.01	$1,479.11	$3,630.78