Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,162.28 / $10,964.78	Facility		$1,380.38	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $3,388.44	Professional		$1,047.13	$1,258.93	$3,388.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $2,754.23	Professional		$891.25	$1,148.15	$2,754.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $37,153.52	Facility		$1,548.82	$1,548.82	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,862.09 / $50,118.72	Facility		$34.67	$1,862.09	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,819.70 / $4,897.79	Professional		$954.99	$1,819.70	$4,897.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,862.09 / $3,801.89	Facility		$1,148.15	$1,862.09	$3,801.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $1,995.26	Professional		$1,023.29	$1,380.38	$1,995.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,479.11 / $2,754.23	Professional		$831.76	$1,479.11	$2,754.23
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 / $1,479.11 / $2,398.83	Professional		$398.11	$1,479.11	$2,398.83
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 $851.14 / $1,230.27 / $3,311.31	Professional		$851.14	$1,230.27	$3,311.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,412.54 / $3,801.89	Facility		$891.25	$1,412.54	$3,801.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,412.54 / $3,467.37	Professional		$870.96	$1,412.54	$3,467.37