Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,888.44 / $12,589.25	Facility		$2,511.89	$5,888.44	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $4,365.16	Professional		$1,548.82	$2,089.30	$4,365.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $5,128.61	Professional		$2,691.53	$3,162.28	$5,128.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $37,153.52	Facility		$3,090.30	$3,090.30	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $50,118.72	Facility		$3,630.78	$3,630.78	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Professional		$10,232.93	$10,232.93	$10,232.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,884.03 / $5,011.87	Professional		$1,348.96	$2,884.03	$5,011.87
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 $2,454.71 / $6,456.54 / $18,620.87	Facility		$2,454.71	$6,456.54	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,630.27 / $6,760.83	Professional		$1,288.25	$2,630.27	$6,760.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,041.74 / $2,041.74	Facility		$1,288.25	$2,041.74	$2,041.74
Univera 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