Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,168.69 / $10,964.78	Facility		$1,737.80	$4,168.69	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $3,715.35	Professional		$1,230.27	$1,479.11	$3,715.35
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 $1,096.48 / $1,380.38 / $3,311.31	Professional		$1,096.48	$1,380.38	$3,311.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,398.83 / $10,964.78	Facility		$1,949.84	$2,398.83	$10,964.78
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 $2,290.87 / $2,290.87 / $50,118.72	Facility		$2,290.87	$2,290.87	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $6,025.60	Professional		$1,348.96	$1,995.26	$6,025.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $5,128.61	Facility		$1,412.54	$1,819.70	$5,128.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $3,019.95	Professional		$1,513.56	$2,089.30	$3,019.95
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 $1,047.13 / $1,819.70 / $2,884.03	Professional		$1,047.13	$1,819.70	$2,884.03
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 / $1,778.28 / $3,715.35	Professional		$398.11	$1,778.28	$3,715.35
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 $1,148.15 / $1,659.59 / $4,073.80	Professional		$1,148.15	$1,659.59	$4,073.80
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 / $1,698.24 / $3,981.07	Professional		$1,122.02	$1,698.24	$3,981.07