Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $5,248.07 / $12,022.64	Facility		$1,905.46	$5,248.07	$12,022.64
Aetna 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
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 $1,318.26 / $1,698.24 / $4,073.80	Professional		$1,318.26	$1,698.24	$4,073.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $37,153.52	Facility		$2,238.72	$2,238.72	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,754.23 / $50,118.72	Facility		$34.67	$2,754.23	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,398.83 / $7,244.36	Professional		$1,584.89	$2,398.83	$7,244.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $5,623.41	Facility		$1,548.82	$2,187.76	$5,623.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $3,311.31	Professional		$1,659.59	$2,290.87	$3,311.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $3,388.44	Professional		$1,380.38	$1,995.26	$3,388.44
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 / $2,137.96 / $3,467.37	Professional		$398.11	$2,137.96	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $8,128.31 / $20,417.38	Facility		$2,691.53	$8,128.31	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $5,011.87	Professional		$1,380.38	$1,995.26	$5,011.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,905.46 / $7,413.10	Facility		$1,288.25	$1,905.46	$7,413.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,905.46 / $4,897.79	Professional		$1,288.25	$1,905.46	$4,897.79