Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $5,248.07 / $12,022.64	Facility		$1,380.38	$5,248.07	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $3,388.44	Professional		$933.25	$1,288.25	$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 $870.96 / $1,096.48 / $2,570.40	Professional		$870.96	$1,096.48	$2,570.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $12,302.69	Facility		$1,412.54	$1,412.54	$12,302.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,737.80 / $50,118.72	Facility		$34.67	$1,737.80	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,698.24 / $4,570.88	Professional		$870.96	$1,698.24	$4,570.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,819.70 / $3,548.13	Facility		$1,047.13	$1,819.70	$3,548.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,819.70	Professional		$954.99	$1,258.93	$1,819.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,380.38 / $2,511.89	Professional		$851.14	$1,380.38	$2,511.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $50,118.72 / $75,857.76	Facility		$1,122.02	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,348.96 / $2,187.76	Professional		$398.11	$1,348.96	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,128.61 / $11,481.54	Facility		$2,398.83	$5,128.61	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,122.02 / $3,019.95	Professional		$724.44	$1,122.02	$3,019.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,348.96 / $3,388.44	Facility		$812.83	$1,348.96	$3,388.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,348.96 / $3,162.28	Professional		$812.83	$1,348.96	$3,162.28