Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,888.44 / $14,125.38	Facility		$2,454.71	$5,888.44	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,778.28 / $2,398.83	Professional		$1,000.00	$1,778.28	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,481.54 / $26,302.68	Facility		$5,011.87	$11,481.54	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $3,630.78	Professional		$1,584.89	$1,905.46	$3,630.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $13,489.63	Facility		$2,754.23	$2,754.23	$13,489.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $53,703.18	Facility		$3,019.95	$3,019.95	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $8,511.38	Professional		$8,511.38	$8,511.38	$8,511.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $489.78 / $660.69	Professional		$263.03	$489.78	$660.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $3,981.07	Professional		$1,659.59	$2,238.72	$3,981.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $14,125.38 / $51,286.14	Facility		$2,818.38	$14,125.38	$51,286.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $4,466.84	Professional		$1,513.56	$2,041.74	$4,466.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,819.70 / $1,949.84	Facility		$1,659.59	$1,819.70	$1,949.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,819.70 / $3,981.07	Professional		$1,659.59	$1,819.70	$3,981.07