Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $12,022.64	Facility		$1,698.24	$5,248.07	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $3,981.07	Professional		$1,174.90	$1,548.82	$3,981.07
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 $977.24 / $1,230.27 / $3,090.30	Professional		$977.24	$1,230.27	$3,090.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $12,302.69	Facility		$1,905.46	$2,630.27	$12,302.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $50,118.72	Facility		$2,238.72	$2,238.72	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,698.24 / $5,011.87	Professional		$1,023.29	$1,698.24	$5,011.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $4,570.88	Facility		$1,122.02	$1,513.56	$4,570.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $2,630.27	Professional		$1,380.38	$1,698.24	$2,630.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,659.59 / $2,951.21	Professional		$954.99	$1,659.59	$2,951.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $50,118.72 / $75,857.76	Facility		$1,174.90	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,621.81 / $2,818.38	Professional		$398.11	$1,621.81	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,897.79 / $11,481.54	Facility		$2,187.76	$4,897.79	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $2,951.21	Professional		$1,071.52	$1,380.38	$2,951.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,862.09 / $3,715.35	Facility		$1,122.02	$1,862.09	$3,715.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,659.59 / $4,168.69	Professional		$1,023.29	$1,659.59	$4,168.69