Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,168.69 / $10,964.78	Facility		$1,513.56	$4,168.69	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $3,311.31	Professional		$1,047.13	$1,318.26	$3,311.31
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 $891.25 / $1,122.02 / $2,884.03	Professional		$891.25	$1,122.02	$2,884.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,398.83 / $10,964.78	Facility		$1,659.59	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $50,118.72	Facility		$1,995.26	$1,995.26	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,737.80 / $5,248.07	Professional		$1,148.15	$1,737.80	$5,248.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $4,365.16	Facility		$1,202.26	$1,584.89	$4,365.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $2,570.40	Professional		$1,288.25	$1,778.28	$2,570.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,548.82 / $2,511.89	Professional		$1,000.00	$1,548.82	$2,511.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $50,118.72 / $75,857.76	Facility		$1,230.27	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,513.56 / $3,235.94	Professional		$398.11	$1,513.56	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,128.61 / $11,481.54	Facility		$2,344.23	$5,128.61	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $3,548.13	Professional		$1,000.00	$1,412.54	$3,548.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,412.54 / $5,623.41	Facility		$954.99	$1,412.54	$5,623.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $3,548.13	Professional		$954.99	$1,445.44	$3,548.13