Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,801.89 / $10,964.78	Facility		$1,258.93	$3,801.89	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $3,235.94	Professional		$870.96	$1,122.02	$3,235.94
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 $812.83 / $1,023.29 / $2,884.03	Professional		$812.83	$1,023.29	$2,884.03
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 $954.99 / $1,659.59 / $5,128.61	Professional		$954.99	$1,659.59	$5,128.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,949.84 / $3,981.07	Facility		$1,071.52	$1,949.84	$3,981.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $1,995.26	Professional		$1,122.02	$1,479.11	$1,995.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,258.93 / $2,454.71	Professional		$794.33	$1,258.93	$2,454.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $50,118.72 / $75,857.76	Facility		$977.24	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,318.26 / $2,041.74	Professional		$398.11	$1,318.26	$2,041.74
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 $954.99 / $1,380.38 / $3,467.37	Professional		$954.99	$1,380.38	$3,467.37
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 $794.33 / $1,202.26 / $3,090.30	Professional		$794.33	$1,202.26	$3,090.30