Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $6,606.93 / $10,471.29	Facility		$2,951.21	$6,606.93	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $3,715.35	Professional		$2,089.30	$2,818.38	$3,715.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $9,120.11	Facility		$3,467.37	$3,467.37	$9,120.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $7,244.36	Professional		$239.88	$239.88	$7,244.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,467.37 / $3,467.37	Professional		$2,570.40	$3,467.37	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $7,413.10 / $9,120.11	Facility		$2,290.87	$7,413.10	$9,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $5,128.61 / $16,982.44	Professional		$3,467.37	$5,128.61	$16,982.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $5,754.40 / $13,489.63	Facility		$3,467.37	$5,754.40	$13,489.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,677.35 / $6,760.83	Professional		$3,715.35	$4,677.35	$6,760.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,467.37 / $6,309.57	Professional		$2,818.38	$3,467.37	$6,309.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $6,606.93 / $50,118.72	Facility		$4,570.88	$6,606.93	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,630.78	Professional		$3,467.37	$3,467.37	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,467.37 / $4,168.69	Facility		$3,162.28	$3,467.37	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $4,570.88	Professional		$1,479.11	$2,089.30	$4,570.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,467.37 / $3,981.07	Facility		$2,089.30	$3,467.37	$3,981.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,467.37 / $6,918.31	Professional		$2,818.38	$3,467.37	$6,918.31