Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,365.16 / $10,964.78	Facility		$1,737.80	$4,365.16	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $3,801.89	Professional		$1,174.90	$1,513.56	$3,801.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,762.47 / $13,803.84	Facility		$4,073.80	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $3,467.37	Professional		$1,023.29	$1,318.26	$3,467.37
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 $2,089.30 / $2,290.87 / $50,118.72	Facility		$2,089.30	$2,290.87	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $2,238.72 / $5,495.41	Professional		$870.96	$2,238.72	$5,495.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $4,265.80	Facility		$1,148.15	$1,380.38	$4,265.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $2,290.87	Professional		$1,174.90	$1,584.89	$2,290.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $2,630.27	Professional		$1,023.29	$1,621.81	$2,630.27
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 / $1,584.89 / $2,570.40	Professional		$398.11	$1,584.89	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $13,803.84	Facility		$2,398.83	$5,888.44	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $3,548.13	Professional		$954.99	$1,380.38	$3,548.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $3,801.89	Facility		$1,023.29	$1,348.96	$3,801.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $3,981.07	Professional		$1,023.29	$1,513.56	$3,981.07