Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,801.89 / $10,964.78	Facility		$1,174.90	$3,801.89	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $2,691.53	Professional		$851.14	$1,096.48	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $9,549.93	Facility		$2,630.27	$4,786.30	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $2,630.27	Professional		$812.83	$1,047.13	$2,630.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $37,153.52	Facility		$1,380.38	$1,380.38	$37,153.52
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 / $1,698.24 / $50,118.72	Facility		$34.67	$1,698.24	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,584.89 / $5,128.61	Professional		$933.25	$1,584.89	$5,128.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,202.26 / $3,019.95	Facility		$758.58	$1,202.26	$3,019.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,041.74	Professional		$1,122.02	$1,479.11	$2,041.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,258.93 / $2,454.71	Professional		$758.58	$1,258.93	$2,454.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $50,118.72 / $75,857.76	Facility		$933.25	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,348.96 / $2,089.30	Professional		$398.11	$1,348.96	$2,089.30
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 $933.25 / $1,380.38 / $3,388.44	Professional		$933.25	$1,380.38	$3,388.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,148.15 / $3,981.07	Facility		$794.33	$1,148.15	$3,981.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,230.27 / $3,090.30	Professional		$776.25	$1,230.27	$3,090.30