Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,786.30 / $7,585.78	Facility		$2,137.96	$4,786.30	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $2,630.27	Professional		$1,513.56	$1,995.26	$2,630.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,570.40	Facility		$2,511.89	$2,511.89	$2,570.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $3,981.07	Professional		$1,513.56	$1,513.56	$3,981.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $2,511.89	Professional		$1,819.70	$2,511.89	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $5,370.32 / $6,456.54	Facility		$1,621.81	$5,370.32	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,630.78 / $12,022.64	Professional		$2,511.89	$3,630.78	$12,022.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,168.69 / $9,549.93	Facility		$2,511.89	$4,168.69	$9,549.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,388.44 / $4,897.79	Professional		$2,630.27	$3,388.44	$4,897.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $4,466.84	Professional		$2,137.96	$2,511.89	$4,466.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,786.30 / $50,118.72	Facility		$3,235.94	$4,786.30	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,570.40	Professional		$2,511.89	$2,511.89	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,511.89 / $3,019.95	Facility		$2,238.72	$2,511.89	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $3,388.44	Professional		$1,047.13	$1,513.56	$3,388.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,511.89 / $2,884.03	Facility		$1,513.56	$2,511.89	$2,884.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $5,011.87	Professional		$2,137.96	$2,511.89	$5,011.87