Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,981.07 / $10,964.78	Facility		$2,454.71	$3,981.07	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,884.03 / $6,760.83	Professional		$2,344.23	$2,884.03	$6,760.83
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 $2,290.87 / $2,818.38 / $6,165.95	Professional		$2,290.87	$2,818.38	$6,165.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $37,153.52	Facility		$3,890.45	$3,890.45	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,677.35 / $50,118.72	Facility		$34.67	$4,677.35	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,981.07 / $11,481.54	Professional		$2,691.53	$3,981.07	$11,481.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,235.94 / $9,549.93	Facility		$2,630.27	$3,235.94	$9,549.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,890.45 / $5,623.41	Professional		$2,818.38	$3,890.45	$5,623.41
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,467.37 / $5,754.40	Professional		$2,041.74	$3,467.37	$5,754.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $50,118.72 / $75,857.76	Facility		$2,454.71	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $3,630.78 / $6,025.60	Professional		$398.11	$3,630.78	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $8,128.31 / $20,417.38	Facility		$2,691.53	$8,128.31	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,311.31 / $8,317.64	Professional		$2,290.87	$3,311.31	$8,317.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,235.94 / $11,748.98	Facility		$2,238.72	$3,235.94	$11,748.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,235.94 / $7,762.47	Professional		$2,089.30	$3,235.94	$7,762.47