Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $4,168.69 / $10,964.78	Facility		$1,071.52	$4,168.69	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $1,995.26	Professional		$616.60	$794.33	$1,995.26
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 $575.44 / $707.95 / $1,778.28	Professional		$575.44	$707.95	$1,778.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,398.83 / $10,964.78	Facility		$977.24	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $50,118.72	Facility		$1,202.26	$1,202.26	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,047.13 / $3,311.31	Professional		$660.69	$1,047.13	$3,311.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,023.29 / $2,570.40	Facility		$707.95	$1,023.29	$2,570.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,513.56	Professional		$758.58	$1,047.13	$1,513.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $912.01 / $1,479.11	Professional		$575.44	$912.01	$1,479.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $50,118.72 / $75,857.76	Facility		$691.83	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $977.24 / $1,584.89	Professional		$398.11	$977.24	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,128.61 / $11,481.54	Facility		$2,344.23	$5,128.61	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $933.25 / $2,187.76	Professional		$588.84	$933.25	$2,187.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $812.83 / $2,570.40	Facility		$575.44	$812.83	$2,570.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $831.76 / $1,905.46	Professional		$575.44	$831.76	$1,905.46