Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $5,248.07 / $11,748.98	Facility		$1,621.81	$5,248.07	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $3,548.13	Professional		$1,096.48	$1,412.54	$3,548.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $3,162.28	Professional		$1,000.00	$1,288.25	$3,162.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $37,153.52	Facility		$1,698.24	$1,698.24	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,238.72 / $50,118.72	Facility		$34.67	$2,238.72	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,905.46 / $5,495.41	Professional		$1,258.93	$1,905.46	$5,495.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $4,570.88	Facility		$1,348.96	$1,819.70	$4,570.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $2,691.53	Professional		$1,348.96	$1,862.09	$2,691.53
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,737.80 / $2,754.23	Professional		$1,071.52	$1,737.80	$2,754.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $50,118.72 / $75,857.76	Facility		$1,288.25	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,621.81 / $2,630.27	Professional		$398.11	$1,621.81	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,456.54 / $16,982.44	Facility		$2,454.71	$6,456.54	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $3,801.89	Professional		$1,071.52	$1,513.56	$3,801.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $5,248.07	Facility		$1,071.52	$1,548.82	$5,248.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $3,630.78	Professional		$1,071.52	$1,548.82	$3,630.78