Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $5,754.40 / $12,882.50	Facility		$1,380.38	$5,754.40	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $3,090.30	Professional		$912.01	$1,148.15	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $8,511.38 / $16,595.87	Facility		$4,466.84	$8,511.38	$16,595.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $2,454.71	Professional		$724.44	$954.99	$2,454.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $12,302.69	Facility		$1,380.38	$1,380.38	$12,302.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,659.59 / $50,118.72	Facility		$34.67	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,584.89 / $4,365.16	Professional		$831.76	$1,584.89	$4,365.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,621.81 / $3,311.31	Facility		$1,000.00	$1,621.81	$3,311.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $1,737.80	Professional		$912.01	$1,202.26	$1,737.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,318.26 / $2,041.74	Professional		$776.25	$1,318.26	$2,041.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $50,118.72 / $75,857.76	Facility		$1,071.52	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,288.25 / $2,137.96	Professional		$398.11	$1,288.25	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,606.93 / $16,595.87	Facility		$2,511.89	$6,606.93	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $2,884.03	Professional		$741.31	$1,071.52	$2,884.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,258.93 / $3,311.31	Facility		$794.33	$1,258.93	$3,311.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,258.93 / $2,630.27	Professional		$776.25	$1,258.93	$2,630.27