Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,715.35 / $5,754.40	Facility		$1,862.09	$3,715.35	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $1,862.09	Professional		$1,258.93	$1,513.56	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $5,128.61	Facility		$1,949.84	$1,949.84	$5,128.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $2,041.74	Professional		$323.59	$323.59	$2,041.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $1,737.80	Professional		$1,288.25	$1,737.80	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,715.35 / $4,570.88	Facility		$1,258.93	$3,715.35	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,818.38 / $9,332.54	Professional		$1,949.84	$2,818.38	$9,332.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,235.94 / $7,413.10	Facility		$1,949.84	$3,235.94	$7,413.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $3,801.89	Professional		$2,041.74	$2,630.27	$3,801.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,905.46 / $3,467.37	Professional		$1,659.59	$1,905.46	$3,467.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,715.35 / $50,118.72	Facility		$2,511.89	$3,715.35	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,995.26	Professional		$1,949.84	$1,949.84	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,949.84 / $2,344.23	Facility		$1,737.80	$1,949.84	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $2,344.23	Professional		$741.31	$1,047.13	$2,344.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $2,238.72	Facility		$1,659.59	$1,949.84	$2,238.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,949.84 / $3,890.45	Professional		$1,318.26	$1,949.84	$3,890.45