Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,630.78 / $10,964.78	Facility		$1,230.27	$3,630.78	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $2,951.21	Professional		$891.25	$1,122.02	$2,951.21
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 $776.25 / $977.24 / $2,398.83	Professional		$776.25	$977.24	$2,398.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $37,153.52	Facility		$1,348.96	$1,348.96	$37,153.52
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 / $50,118.72	Facility		$34.67	$1,621.81	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,584.89 / $4,265.80	Professional		$891.25	$1,584.89	$4,265.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,148.15 / $3,235.94	Facility		$1,000.00	$1,148.15	$3,235.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,698.24	Professional		$891.25	$1,174.90	$1,698.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,380.38 / $1,995.26	Professional		$724.44	$1,380.38	$1,995.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $50,118.72 / $75,857.76	Facility		$1,023.29	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,288.25 / $2,089.30	Professional		$398.11	$1,288.25	$2,089.30
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 $724.44 / $1,071.52 / $2,884.03	Professional		$724.44	$1,071.52	$2,884.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,230.27 / $3,311.31	Facility		$776.25	$1,230.27	$3,311.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,230.27 / $3,019.95	Professional		$758.58	$1,230.27	$3,019.95