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 $1,000.00 / $1,380.38 / $1,412.54	Professional		$1,000.00	$1,380.38	$1,412.54
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 $1,122.02 / $1,412.54 / $2,290.87	Professional		$1,122.02	$1,412.54	$2,290.87
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 $2,187.76 / $2,187.76 / $50,118.72	Facility		$2,187.76	$2,187.76	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Professional		$6,456.54	$6,456.54	$6,456.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,905.46 / $3,235.94	Professional		$1,288.25	$1,905.46	$3,235.94
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 $1,148.15 / $1,862.09 / $4,365.16	Professional		$1,148.15	$1,862.09	$4,365.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $2,884.03	Professional		$1,318.26	$1,318.26	$2,884.03