Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,370.32 / $12,302.69	Facility		$2,570.40	$5,370.32	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $6,165.95	Professional		$1,995.26	$2,570.40	$6,165.95
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 $1,819.70 / $2,290.87 / $5,623.41	Professional		$1,819.70	$2,290.87	$5,623.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $37,153.52	Facility		$3,090.30	$3,090.30	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,715.35 / $50,118.72	Facility		$34.67	$3,715.35	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,311.31 / $10,232.93	Professional		$2,187.76	$3,311.31	$10,232.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,162.28 / $7,762.47	Facility		$2,344.23	$3,162.28	$7,762.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,162.28 / $4,570.88	Professional		$2,290.87	$3,162.28	$4,570.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,884.03 / $4,570.88	Professional		$1,905.46	$2,884.03	$4,570.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $50,118.72 / $75,857.76	Facility		$2,290.87	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,884.03 / $4,786.30	Professional		$398.11	$2,884.03	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $8,128.31 / $22,387.21	Facility		$2,691.53	$8,128.31	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,754.23 / $6,760.83	Professional		$1,905.46	$2,754.23	$6,760.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,715.35 / $10,232.93	Facility		$1,778.28	$3,715.35	$10,232.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,884.03 / $5,888.44	Professional		$1,778.28	$2,884.03	$5,888.44