Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,265.80 / $10,964.78	Facility		$1,584.89	$4,265.80	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $3,388.44	Professional		$1,148.15	$1,445.44	$3,388.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,220.18 / $19,054.61	Facility		$5,011.87	$11,220.18	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $3,162.28	Professional		$1,023.29	$1,288.25	$3,162.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $10,964.78	Facility		$1,778.28	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $50,118.72	Facility		$2,137.96	$2,137.96	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,862.09 / $5,754.40	Professional		$1,230.27	$1,862.09	$5,754.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $4,570.88	Facility		$1,258.93	$1,819.70	$4,570.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $2,691.53	Professional		$1,380.38	$1,862.09	$2,691.53
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,659.59 / $2,691.53	Professional		$954.99	$1,659.59	$2,691.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $50,118.72 / $75,857.76	Facility		$4,786.30	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,659.59 / $3,388.44	Professional		$398.11	$1,659.59	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,456.54 / $18,620.87	Facility		$2,454.71	$6,456.54	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $3,890.45	Professional		$1,071.52	$1,513.56	$3,890.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $5,370.32	Facility		$1,023.29	$1,513.56	$5,370.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,548.82 / $3,630.78	Professional		$954.99	$1,548.82	$3,630.78