Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,801.89 / $10,232.93	Facility		$1,288.25	$3,801.89	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $2,570.40	Professional		$851.14	$1,096.48	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,762.47 / $13,803.84	Facility		$3,981.07	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $2,454.71	Professional		$707.95	$912.01	$2,454.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $6,165.95	Facility		$1,348.96	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $50,118.72	Facility		$1,621.81	$1,621.81	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,445.44 / $4,466.84	Professional		$891.25	$1,445.44	$4,466.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,122.02 / $3,467.37	Facility		$933.25	$1,122.02	$3,467.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $2,041.74	Professional		$1,023.29	$1,412.54	$2,041.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,230.27 / $2,041.74	Professional		$758.58	$1,230.27	$2,041.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $50,118.72 / $75,857.76	Facility		$912.01	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,348.96 / $2,137.96	Professional		$398.11	$1,348.96	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $16,982.44	Facility		$2,398.83	$5,888.44	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,258.93 / $3,090.30	Professional		$794.33	$1,258.93	$3,090.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,122.02 / $3,467.37	Facility		$776.25	$1,122.02	$3,467.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $2,570.40	Professional		$776.25	$1,122.02	$2,570.40