Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,168.69 / $10,964.78	Facility		$1,819.70	$4,168.69	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $3,801.89	Professional		$1,288.25	$1,548.82	$3,801.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,762.47 / $13,803.84	Facility		$3,981.07	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $3,630.78	Professional		$1,202.26	$1,513.56	$3,630.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $37,153.52	Facility		$2,041.74	$2,041.74	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,398.83 / $50,118.72	Facility		$34.67	$2,398.83	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,137.96 / $5,888.44	Professional		$1,380.38	$2,137.96	$5,888.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $4,897.79	Facility		$1,513.56	$1,949.84	$4,897.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $2,884.03	Professional		$1,513.56	$2,041.74	$2,884.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,862.09 / $3,019.95	Professional		$1,071.52	$1,862.09	$3,019.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $50,118.72 / $75,857.76	Facility		$4,786.30	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,905.46 / $3,162.28	Professional		$398.11	$1,905.46	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $13,803.84	Facility		$2,398.83	$5,888.44	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $4,168.69	Professional		$1,202.26	$1,659.59	$4,168.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $6,309.57	Facility		$1,148.15	$1,698.24	$6,309.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,819.70 / $4,168.69	Professional		$1,071.52	$1,819.70	$4,168.69