Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,890.45 / $10,232.93	Facility		$1,584.89	$3,890.45	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $3,162.28	Professional		$1,023.29	$1,318.26	$3,162.28
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 $851.14 / $1,071.52 / $3,019.95	Professional		$851.14	$1,071.52	$3,019.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,698.24 / $6,165.95	Facility		$1,621.81	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $50,118.72	Facility		$1,659.59	$1,949.84	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,778.28 / $5,370.32	Professional		$1,096.48	$1,778.28	$5,370.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $4,073.80	Facility		$1,148.15	$1,621.81	$4,073.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $2,398.83	Professional		$1,202.26	$1,659.59	$2,398.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,479.11 / $2,398.83	Professional		$912.01	$1,479.11	$2,398.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $50,118.72 / $75,857.76	Facility		$1,096.48	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,584.89 / $2,570.40	Professional		$398.11	$1,584.89	$2,570.40
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 $954.99 / $1,513.56 / $3,715.35	Professional		$954.99	$1,513.56	$3,715.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,318.26 / $4,466.84	Facility		$933.25	$1,318.26	$4,466.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,380.38 / $3,090.30	Professional		$933.25	$1,380.38	$3,090.30