Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $3,467.37 / $9,120.11	Facility		$309.03	$3,467.37	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $489.78 / $3,630.78	Professional		$177.83	$489.78	$3,630.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,220.18 / $19,054.61	Facility		$5,011.87	$11,220.18	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,047.13 / $3,981.07	Professional		$380.19	$1,047.13	$3,981.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,258.93 / $4,073.80	Facility		$512.86	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $3,388.44	Professional		$512.86	$512.86	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $50,118.72	Facility		$776.25	$776.25	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $1,023.29 / $9,120.11	Professional		$234.42	$1,023.29	$9,120.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $537.03 / $1,288.25	Facility		$281.84	$537.03	$1,288.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $7,762.47 / $11,220.18	Professional		$5,623.41	$7,762.47	$11,220.18
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility		$3,388.44	$3,388.44	$3,388.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $4,677.35 / $8,128.31	Professional		$194.98	$4,677.35	$8,128.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $50,118.72 / $75,857.76	Facility		$269.15	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,818.38 / $7,762.47	Professional		$398.11	$2,818.38	$7,762.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $7,244.36 / $36,307.81	Facility		$2,454.71	$7,244.36	$36,307.81
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $851.14 / $5,495.41	Professional		$223.87	$851.14	$5,495.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $512.86 / $776.25	Facility		$190.55	$512.86	$776.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $3,801.89 / $7,244.36	Professional		$363.08	$3,801.89	$7,244.36