Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $12,022.64	Facility		$2,398.83	$5,888.44	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,380.38	Professional		$794.33	$1,096.48	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $11,481.54 / $18,620.87	Facility		$4,786.30	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $2,691.53	Professional		$1,380.38	$1,698.24	$2,691.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $37,153.52 / $37,153.52 / $37,153.52	Facility		$37,153.52	$37,153.52	$37,153.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $50,118.72	Facility		$1,659.59	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $5,248.07 / $5,248.07	Professional		$776.25	$5,248.07	$5,248.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,122.02 / $2,570.40	Facility		$676.08	$1,122.02	$2,570.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $954.99 / $1,479.11	Professional		$416.87	$954.99	$1,479.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $851.14 / $1,479.11	Professional		$562.34	$851.14	$1,479.11
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 $575.44 / $912.01 / $1,995.26	Professional		$575.44	$912.01	$1,995.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $602.56 / $1,318.26	Professional		$575.44	$602.56	$1,318.26