Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,168.69 / $10,964.78	Facility		$1,584.89	$4,168.69	$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 $1,000.00 / $1,258.93 / $3,235.94	Professional		$1,000.00	$1,258.93	$3,235.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $10,964.78	Facility		$1,819.70	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $50,118.72	Facility		$2,187.76	$2,187.76	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,905.46 / $5,495.41	Professional		$1,288.25	$1,905.46	$5,495.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,621.81 / $4,677.35	Facility		$1,412.54	$1,621.81	$4,677.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $2,818.38	Professional		$1,412.54	$1,905.46	$2,818.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,698.24 / $2,754.23	Professional		$1,047.13	$1,698.24	$2,754.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $50,118.72 / $75,857.76	Facility		$1,258.93	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,698.24 / $3,548.13	Professional		$398.11	$1,698.24	$3,548.13
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 $1,096.48 / $1,584.89 / $3,981.07	Professional		$1,096.48	$1,584.89	$3,981.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,548.82 / $5,623.41	Facility		$1,047.13	$1,548.82	$5,623.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $3,630.78	Professional		$1,047.13	$1,584.89	$3,630.78