Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,011.87 / $10,964.78	Facility		$2,454.71	$5,011.87	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,630.27 / $7,943.28	Professional		$2,238.72	$2,630.27	$7,943.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,754.23 / $6,165.95	Professional		$2,137.96	$2,754.23	$6,165.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,801.89 / $10,964.78	Facility		$3,630.78	$3,801.89	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,570.88 / $50,118.72	Facility		$34.67	$4,570.88	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,467.37 / $8,912.51	Professional		$1,778.28	$3,467.37	$8,912.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,951.21 / $8,912.51	Facility		$2,137.96	$2,951.21	$8,912.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,311.31 / $5,495.41	Professional		$2,818.38	$3,311.31	$5,495.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,884.03 / $4,897.79	Professional		$2,089.30	$2,884.03	$4,897.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $50,118.72 / $75,857.76	Facility		$2,691.53	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $3,235.94 / $4,168.69	Professional		$398.11	$3,235.94	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,981.07 / $8,317.64	Facility		$1,819.70	$3,981.07	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,884.03 / $6,456.54	Professional		$1,621.81	$2,884.03	$6,456.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,884.03 / $8,912.51	Facility		$2,089.30	$2,884.03	$8,912.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,162.28 / $8,511.38	Professional		$2,089.30	$3,162.28	$8,511.38