Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,248.07 / $11,748.98	Facility		$2,454.71	$5,248.07	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,630.27 / $6,606.93	Professional		$2,187.76	$2,630.27	$6,606.93
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 $2,089.30 / $2,630.27 / $6,456.54	Professional		$2,089.30	$2,630.27	$6,456.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $37,153.52	Facility		$3,548.13	$3,548.13	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,265.80 / $50,118.72	Facility		$34.67	$4,265.80	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,630.78 / $10,471.29	Professional		$2,187.76	$3,630.78	$10,471.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,754.23 / $7,413.10	Facility		$1,778.28	$2,754.23	$7,413.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,548.13 / $5,128.61	Professional		$2,570.40	$3,548.13	$5,128.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,162.28 / $5,248.07	Professional		$1,995.26	$3,162.28	$5,248.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $50,118.72 / $75,857.76	Facility		$1,659.59	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $3,311.31 / $5,495.41	Professional		$398.11	$3,311.31	$5,495.41
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 $1,862.09 / $3,019.95 / $7,762.47	Professional		$1,862.09	$3,019.95	$7,762.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,951.21 / $7,079.46	Facility		$2,041.74	$2,951.21	$7,079.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,951.21 / $6,456.54	Professional		$2,041.74	$2,951.21	$6,456.54