Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,801.89 / $10,964.78	Facility		$1,659.59	$3,801.89	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $3,630.78	Professional		$1,258.93	$1,548.82	$3,630.78
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 $1,148.15 / $1,445.44 / $3,548.13	Professional		$1,148.15	$1,445.44	$3,548.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $37,153.52	Facility		$1,949.84	$1,949.84	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,344.23 / $50,118.72	Facility		$34.67	$2,344.23	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $6,165.95	Professional		$1,380.38	$2,041.74	$6,165.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $4,897.79	Facility		$1,445.44	$1,949.84	$4,897.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $2,884.03	Professional		$1,445.44	$1,995.26	$2,884.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,819.70 / $2,884.03	Professional		$1,122.02	$1,819.70	$2,884.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $50,118.72 / $75,857.76	Facility		$1,380.38	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,819.70 / $3,019.95	Professional		$398.11	$1,819.70	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,456.54 / $18,620.87	Facility		$2,454.71	$6,456.54	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $4,265.80	Professional		$1,202.26	$1,698.24	$4,265.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,659.59 / $6,025.60	Facility		$1,122.02	$1,659.59	$6,025.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $3,981.07	Professional		$1,122.02	$1,737.80	$3,981.07