Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $4,168.69 / $10,964.78	Facility		$1,445.44	$4,168.69	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $3,388.44	Professional		$977.24	$1,318.26	$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 $794.33 / $1,000.00 / $2,691.53	Professional		$794.33	$1,000.00	$2,691.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,398.83 / $10,964.78	Facility		$1,479.11	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $50,118.72	Facility		$1,819.70	$2,290.87	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,778.28 / $4,786.30	Professional		$912.01	$1,778.28	$4,786.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $3,715.35	Facility		$1,096.48	$1,819.70	$3,715.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $1,995.26	Professional		$1,096.48	$1,348.96	$1,995.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,513.56 / $2,238.72	Professional		$933.25	$1,513.56	$2,238.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $50,118.72 / $75,857.76	Facility		$4,786.30	$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 $2,137.96 / $4,365.16 / $9,772.37	Facility		$2,137.96	$4,365.16	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,174.90 / $3,162.28	Professional		$758.58	$1,174.90	$3,162.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,412.54 / $3,630.78	Facility		$851.14	$1,412.54	$3,630.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,445.44 / $3,388.44	Professional		$851.14	$1,445.44	$3,388.44