Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,365.16 / $10,964.78	Facility		$2,454.71	$4,365.16	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,548.13 / $8,317.64	Professional		$2,691.53	$3,548.13	$8,317.64
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 $2,454.71 / $3,090.30 / $7,585.78	Professional		$2,454.71	$3,090.30	$7,585.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $37,153.52	Facility		$4,168.69	$4,168.69	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,897.79 / $50,118.72	Facility		$34.67	$4,897.79	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $5,011.87 / $13,182.57	Professional		$1,949.84	$5,011.87	$13,182.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,019.95 / $7,585.78	Facility		$1,862.09	$3,019.95	$7,585.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,630.78 / $5,128.61	Professional		$2,691.53	$3,630.78	$5,128.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,801.89 / $6,165.95	Professional		$2,398.83	$3,801.89	$6,165.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $50,118.72 / $75,857.76	Facility		$2,951.21	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $3,890.45 / $6,456.54	Professional		$398.11	$3,890.45	$6,456.54
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 $2,238.72 / $3,311.31 / $8,912.51	Professional		$2,238.72	$3,311.31	$8,912.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,162.28 / $8,511.38	Facility		$2,398.83	$3,162.28	$8,511.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,548.13 / $9,332.54	Professional		$2,398.83	$3,548.13	$9,332.54