Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $5,248.07 / $12,022.64	Facility		$1,995.26	$5,248.07	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $4,786.30	Professional		$1,548.82	$1,995.26	$4,786.30
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 $1,412.54 / $1,778.28 / $4,365.16	Professional		$1,412.54	$1,778.28	$4,365.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $37,153.52	Facility		$2,398.83	$2,398.83	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,884.03 / $50,118.72	Facility		$34.67	$2,884.03	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $7,762.47	Professional		$1,698.24	$2,570.40	$7,762.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,041.74 / $6,025.60	Facility		$1,698.24	$2,041.74	$6,025.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,454.71 / $3,548.13	Professional		$1,778.28	$2,454.71	$3,548.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,238.72 / $3,548.13	Professional		$1,479.11	$2,238.72	$3,548.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $50,118.72 / $75,857.76	Facility		$1,778.28	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,238.72 / $3,715.35	Professional		$398.11	$2,238.72	$3,715.35
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 $1,479.11 / $2,137.96 / $5,370.32	Professional		$1,479.11	$2,137.96	$5,370.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $7,943.28	Facility		$1,380.38	$2,041.74	$7,943.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,137.96 / $5,128.61	Professional		$1,380.38	$2,137.96	$5,128.61