Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,801.89 / $10,964.78	Facility		$1,995.26	$3,801.89	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $5,128.61	Professional		$1,584.89	$2,041.74	$5,128.61
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 $1,445.44 / $1,819.70 / $4,570.88	Professional		$1,445.44	$1,819.70	$4,570.88
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 / $3,019.95 / $50,118.72	Facility		$34.67	$3,019.95	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $3,162.28 / $7,943.28	Professional		$1,479.11	$3,162.28	$7,943.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,398.83 / $6,456.54	Facility		$1,995.26	$2,398.83	$6,456.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $3,548.13	Professional		$1,995.26	$2,454.71	$3,548.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,137.96 / $4,265.80	Professional		$1,288.25	$2,137.96	$4,265.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $50,118.72 / $75,857.76	Facility		$4,786.30	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,398.83 / $3,801.89	Professional		$398.11	$2,398.83	$3,801.89
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 / $2,041.74 / $5,370.32	Professional		$1,479.11	$2,041.74	$5,370.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $6,165.95	Facility		$1,412.54	$1,862.09	$6,165.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,089.30 / $5,495.41	Professional		$1,288.25	$2,089.30	$5,495.41