Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $5,128.61 / $12,022.64	Facility		$2,041.74	$5,128.61	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $5,370.32	Professional		$1,548.82	$1,995.26	$5,370.32
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 $1,348.96 / $1,698.24 / $4,466.84	Professional		$1,348.96	$1,698.24	$4,466.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $37,153.52	Facility		$2,454.71	$2,454.71	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,884.03 / $50,118.72	Facility		$34.67	$2,884.03	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $3,019.95 / $7,762.47	Professional		$1,148.15	$3,019.95	$7,762.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $5,888.44	Facility		$1,380.38	$1,905.46	$5,888.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $3,090.30	Professional		$1,621.81	$2,137.96	$3,090.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,238.72 / $3,715.35	Professional		$1,479.11	$2,238.72	$3,715.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $50,118.72 / $75,857.76	Facility		$1,995.26	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,398.83 / $4,570.88	Professional		$1,995.26	$2,398.83	$4,570.88
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 $1,348.96 / $1,949.84 / $5,011.87	Professional		$1,348.96	$1,949.84	$5,011.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $2,454.71	Facility		$1,380.38	$1,862.09	$2,454.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $4,073.80	Professional		$1,412.54	$2,089.30	$4,073.80