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 $977.24 / $1,258.93 / $3,090.30	Professional		$977.24	$1,258.93	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $8,317.64 / $16,595.87	Facility		$4,466.84	$8,317.64	$16,595.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $2,691.53	Professional		$812.83	$1,023.29	$2,691.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $37,153.52	Facility		$1,513.56	$1,513.56	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,819.70 / $50,118.72	Facility		$34.67	$1,819.70	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,737.80 / $4,897.79	Professional		$977.24	$1,737.80	$4,897.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,737.80 / $3,630.78	Facility		$1,096.48	$1,737.80	$3,630.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $1,949.84	Professional		$1,000.00	$1,348.96	$1,949.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,445.44 / $2,290.87	Professional		$851.14	$1,445.44	$2,290.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $50,118.72 / $75,857.76	Facility		$1,202.26	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,412.54 / $2,290.87	Professional		$398.11	$1,412.54	$2,290.87
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 $812.83 / $1,202.26 / $3,019.95	Professional		$812.83	$1,202.26	$3,019.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,380.38 / $3,630.78	Facility		$870.96	$1,380.38	$3,630.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,380.38 / $3,388.44	Professional		$851.14	$1,380.38	$3,388.44