Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $70,794.58 / $97,723.72	Facility		$1,584.89	$70,794.58	$97,723.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,698.24	Professional		$891.25	$1,230.27	$1,698.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $12,589.25 / $12,589.25	Facility		$10,715.19	$12,589.25	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $2,089.30	Professional		$933.25	$1,148.15	$2,089.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
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 $1,071.52 / $3,235.94 / $4,365.16	Facility		$1,071.52	$3,235.94	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $5,248.07 / $5,248.07	Professional		$1,174.90	$5,248.07	$5,248.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $4,466.84	Facility		$1,122.02	$1,513.56	$4,466.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $2,398.83	Professional		$1,174.90	$1,659.59	$2,398.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $1,230.27 / $2,089.30	Professional		$77.62	$1,230.27	$2,089.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $50,118.72 / $75,857.76	Facility		$138.04	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $16,595.87 / $21,379.62	Facility		$11,748.98	$16,595.87	$21,379.62
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,258.93 / $2,754.23	Professional		$870.96	$1,258.93	$2,754.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $741.31 / $2,454.71	Facility		$64.57	$741.31	$2,454.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,380.38 / $2,818.38	Professional		$831.76	$1,380.38	$2,818.38