Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $6,165.95 / $15,848.93	Facility		$1,412.54	$6,165.95	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $2,344.23	Professional		$616.60	$758.58	$2,344.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $14,125.38 / $34,673.69	Facility		$6,165.95	$14,125.38	$34,673.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $707.95 / $1,737.80	Professional		$549.54	$707.95	$1,737.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $13,803.84	Facility		$933.25	$933.25	$13,803.84
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $25,118.86 / $53,703.18	Facility		$7,413.10	$25,118.86	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,096.48 / $3,019.95	Professional		$724.44	$1,096.48	$3,019.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,096.48 / $2,238.72	Facility		$691.83	$1,096.48	$2,238.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,202.26	Professional		$630.96	$870.96	$1,202.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $741.31 / $1,174.90	Professional		$426.58	$741.31	$1,174.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $6,606.93 / $50,118.72	Facility		$831.76	$6,606.93	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $1,071.52	Professional		$724.44	$912.01	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $9,120.11 / $28,183.83	Facility		$2,818.38	$9,120.11	$28,183.83
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $851.14 / $1,778.28	Professional		$616.60	$851.14	$1,778.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $870.96 / $1,819.70	Facility		$524.81	$870.96	$1,819.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $870.96 / $1,621.81	Professional		$426.58	$870.96	$1,621.81