Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,801.89 / $10,964.78	Facility		$1,318.26	$3,801.89	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $3,090.30	Professional		$912.01	$1,258.93	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $2,818.38	Professional		$977.24	$1,202.26	$2,818.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $10,964.78	Facility		$1,659.59	$1,659.59	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,041.74 / $50,118.72	Facility		$34.67	$2,041.74	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,659.59 / $5,623.41	Professional		$1,023.29	$1,659.59	$5,623.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $4,168.69	Facility		$1,023.29	$1,513.56	$4,168.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $2,884.03	Professional		$1,445.44	$1,949.84	$2,884.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,513.56 / $2,511.89	Professional		$794.33	$1,513.56	$2,511.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $50,118.72 / $75,857.76	Facility		$954.99	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,659.59 / $2,454.71	Professional		$398.11	$1,659.59	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,981.07 / $8,317.64	Facility		$1,819.70	$3,981.07	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,584.89 / $3,890.45	Professional		$933.25	$1,584.89	$3,890.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,380.38 / $4,265.80	Facility		$954.99	$1,380.38	$4,265.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,445.44 / $3,162.28	Professional		$812.83	$1,445.44	$3,162.28