Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,801.89 / $10,964.78	Facility		$1,230.27	$3,801.89	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $2,454.71	Professional		$812.83	$1,047.13	$2,454.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,943.28 / $13,803.84	Facility		$4,073.80	$7,943.28	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $2,454.71	Professional		$741.31	$954.99	$2,454.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $37,153.52	Facility		$1,288.25	$1,288.25	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,584.89 / $50,118.72	Facility		$34.67	$1,584.89	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,380.38 / $4,265.80	Professional		$891.25	$1,380.38	$4,265.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,819.70 / $3,467.37	Facility		$977.24	$1,819.70	$3,467.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $2,041.74	Professional		$1,023.29	$1,380.38	$2,041.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,174.90 / $1,905.46	Professional		$724.44	$1,174.90	$1,905.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $50,118.72 / $75,857.76	Facility		$870.96	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,288.25 / $1,862.09	Professional		$398.11	$1,288.25	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $4,168.69 / $9,332.54	Facility		$1,479.11	$4,168.69	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,230.27 / $3,019.95	Professional		$776.25	$1,230.27	$3,019.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,071.52 / $3,467.37	Facility		$741.31	$1,071.52	$3,467.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,122.02 / $2,570.40	Professional		$741.31	$1,122.02	$2,570.40