Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,466.84 / $11,481.54	Facility		$1,778.28	$4,466.84	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $4,466.84	Professional		$1,318.26	$1,778.28	$4,466.84
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 $1,148.15 / $1,445.44 / $3,715.35	Professional		$1,148.15	$1,445.44	$3,715.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,630.27 / $12,302.69	Facility		$2,187.76	$2,630.27	$12,302.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,570.40 / $50,118.72	Facility		$34.67	$2,570.40	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,511.89 / $6,760.83	Professional		$1,023.29	$2,511.89	$6,760.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $5,011.87	Facility		$1,174.90	$1,698.24	$5,011.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $2,818.38	Professional		$1,445.44	$1,949.84	$2,818.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $3,311.31	Professional		$1,258.93	$1,995.26	$3,311.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $50,118.72 / $75,857.76	Facility		$1,698.24	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,137.96 / $4,073.80	Professional		$1,778.28	$2,137.96	$4,073.80
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 $1,202.26 / $1,698.24 / $4,265.80	Professional		$1,202.26	$1,698.24	$4,265.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $2,089.30	Facility		$1,148.15	$1,659.59	$2,089.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,862.09 / $3,630.78	Professional		$1,258.93	$1,862.09	$3,630.78