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 / $1,548.82 / $3,630.78	Professional		$1,148.15	$1,548.82	$3,630.78
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 $1,023.29 / $1,288.25 / $3,162.28	Professional		$1,023.29	$1,288.25	$3,162.28
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 / $2,089.30 / $5,370.32	Professional		$1,071.52	$2,089.30	$5,370.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $4,265.80	Facility		$1,122.02	$1,380.38	$4,265.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $2,238.72	Professional		$1,174.90	$1,548.82	$2,238.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,698.24 / $2,630.27	Professional		$954.99	$1,698.24	$2,630.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $50,118.72 / $75,857.76	Facility		$1,258.93	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,659.59 / $2,691.53	Professional		$398.11	$1,659.59	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,495.41 / $12,882.50	Facility		$2,398.83	$5,495.41	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,380.38 / $3,715.35	Professional		$891.25	$1,380.38	$3,715.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,659.59 / $4,265.80	Facility		$1,000.00	$1,659.59	$4,265.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,659.59 / $3,890.45	Professional		$1,000.00	$1,659.59	$3,890.45