Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,677.35 / $10,964.78	Facility		$2,238.72	$4,677.35	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $5,370.32	Professional		$1,698.24	$2,187.76	$5,370.32
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 $1,698.24 / $2,089.30 / $4,677.35	Professional		$1,698.24	$2,089.30	$4,677.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $37,153.52	Facility		$2,884.03	$2,884.03	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,388.44 / $50,118.72	Facility		$34.67	$3,388.44	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,951.21 / $8,709.64	Professional		$1,862.09	$2,951.21	$8,709.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $7,079.46	Facility		$1,737.80	$2,238.72	$7,079.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,951.21 / $4,168.69	Professional		$2,187.76	$2,951.21	$4,168.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,630.27 / $4,168.69	Professional		$1,479.11	$2,630.27	$4,168.69
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 / $2,691.53 / $4,466.84	Professional		$398.11	$2,691.53	$4,466.84
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 $1,659.59 / $2,398.83 / $6,165.95	Professional		$1,659.59	$2,398.83	$6,165.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,398.83 / $7,943.28	Facility		$1,621.81	$2,398.83	$7,943.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,511.89 / $5,495.41	Professional		$1,479.11	$2,511.89	$5,495.41