Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,801.89 / $10,964.78	Facility		$2,238.72	$3,801.89	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,238.72 / $5,754.40	Professional		$1,819.70	$2,238.72	$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 $1,584.89 / $1,995.26 / $5,011.87	Professional		$1,584.89	$1,995.26	$5,011.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $37,153.52	Facility		$2,754.23	$2,754.23	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,235.94 / $50,118.72	Facility		$34.67	$3,235.94	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $3,311.31 / $8,709.64	Professional		$1,288.25	$3,311.31	$8,709.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,041.74 / $4,570.88	Facility		$1,122.02	$2,041.74	$4,570.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $3,548.13	Professional		$1,819.70	$2,454.71	$3,548.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,630.27 / $4,786.30	Professional		$1,584.89	$2,630.27	$4,786.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $50,118.72 / $75,857.76	Facility		$1,949.84	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,570.40 / $4,168.69	Professional		$398.11	$2,570.40	$4,168.69
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 / $2,187.76 / $5,754.40	Professional		$1,479.11	$2,187.76	$5,754.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $5,495.41	Facility		$1,584.89	$2,089.30	$5,495.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,344.23 / $5,495.41	Professional		$1,584.89	$2,344.23	$5,495.41