Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,890.45 / $10,964.78	Facility		$2,238.72	$3,890.45	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $5,754.40	Professional		$1,862.09	$2,344.23	$5,754.40
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 $1,621.81 / $2,089.30 / $5,248.07	Professional		$1,621.81	$2,089.30	$5,248.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $37,153.52	Facility		$2,884.03	$2,884.03	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,388.44 / $50,118.72	Facility		$34.67	$3,388.44	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $3,388.44 / $8,912.51	Professional		$1,318.26	$3,388.44	$8,912.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $6,760.83	Facility		$1,737.80	$2,187.76	$6,760.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,454.71 / $3,548.13	Professional		$1,862.09	$2,454.71	$3,548.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,630.27 / $5,011.87	Professional		$1,659.59	$2,630.27	$5,011.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $50,118.72 / $75,857.76	Facility		$2,089.30	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,630.27 / $4,365.16	Professional		$398.11	$2,630.27	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,168.69 / $9,332.54	Facility		$1,513.56	$4,168.69	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,238.72 / $6,025.60	Professional		$1,479.11	$2,238.72	$6,025.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $5,888.44	Facility		$1,621.81	$2,187.76	$5,888.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,454.71 / $6,309.57	Professional		$1,621.81	$2,454.71	$6,309.57