Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,890.45 / $10,964.78	Facility		$2,290.87	$3,890.45	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $5,888.44	Professional		$1,905.46	$2,454.71	$5,888.44
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 $1,698.24 / $2,187.76 / $5,370.32	Professional		$1,698.24	$2,187.76	$5,370.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $37,153.52	Facility		$3,019.95	$3,019.95	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,467.37 / $50,118.72	Facility		$34.67	$3,467.37	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $3,548.13 / $9,332.54	Professional		$1,380.38	$3,548.13	$9,332.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,187.76 / $4,897.79	Facility		$1,122.02	$2,187.76	$4,897.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,630.27 / $3,801.89	Professional		$1,949.84	$2,630.27	$3,801.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,818.38 / $4,466.84	Professional		$1,698.24	$2,818.38	$4,466.84
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 / $2,754.23 / $4,570.88	Professional		$398.11	$2,754.23	$4,570.88
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 $1,584.89 / $2,344.23 / $6,309.57	Professional		$1,584.89	$2,344.23	$6,309.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $5,623.41	Facility		$1,698.24	$2,238.72	$5,623.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,511.89 / $5,623.41	Professional		$1,698.24	$2,511.89	$5,623.41