Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,677.35 / $10,964.78	Facility		$2,344.23	$4,677.35	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $5,370.32	Professional		$1,819.70	$2,290.87	$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 $1,659.59 / $2,137.96 / $5,128.61	Professional		$1,659.59	$2,137.96	$5,128.61
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 / $3,467.37 / $50,118.72	Facility		$34.67	$3,467.37	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,019.95 / $8,709.64	Professional		$1,995.26	$3,019.95	$8,709.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $6,918.31	Facility		$1,737.80	$2,238.72	$6,918.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $4,168.69	Professional		$2,137.96	$2,884.03	$4,168.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,630.27 / $4,265.80	Professional		$1,513.56	$2,630.27	$4,265.80
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 $1,698.24 / $2,454.71 / $6,165.95	Professional		$1,698.24	$2,454.71	$6,165.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,398.83 / $8,128.31	Facility		$1,659.59	$2,398.83	$8,128.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,511.89 / $5,754.40	Professional		$1,513.56	$2,511.89	$5,754.40