Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,162.28 / $10,964.78	Facility		$1,548.82	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $3,890.45	Professional		$1,148.15	$1,412.54	$3,890.45
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 $1,000.00 / $1,258.93 / $3,090.30	Professional		$1,000.00	$1,258.93	$3,090.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $37,153.52	Facility		$1,737.80	$1,737.80	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,089.30 / $50,118.72	Facility		$34.67	$2,089.30	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,041.74 / $5,495.41	Professional		$1,071.52	$2,041.74	$5,495.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,089.30 / $4,265.80	Facility		$1,288.25	$2,089.30	$4,265.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $2,238.72	Professional		$1,148.15	$1,548.82	$2,238.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,819.70 / $3,090.30	Professional		$954.99	$1,819.70	$3,090.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $50,118.72 / $75,857.76	Facility		$1,318.26	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,621.81 / $2,691.53	Professional		$398.11	$1,621.81	$2,691.53
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 $933.25 / $1,380.38 / $3,715.35	Professional		$933.25	$1,380.38	$3,715.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,584.89 / $4,265.80	Facility		$1,000.00	$1,584.89	$4,265.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,584.89 / $3,388.44	Professional		$977.24	$1,584.89	$3,388.44