Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,128.61 / $10,964.78	Facility		$2,454.71	$5,128.61	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,073.80 / $10,964.78	Professional		$2,691.53	$4,073.80	$10,964.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $9,549.93	Professional		$2,884.03	$3,801.89	$9,549.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $37,153.52	Facility		$5,011.87	$5,011.87	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $50,118.72 / $53,703.18	Facility		$50,118.72	$50,118.72	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,897.79 / $8,912.51	Professional		$4,677.35	$4,897.79	$8,912.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,495.41 / $12,882.50	Facility		$4,073.80	$5,495.41	$12,882.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,786.30 / $6,760.83	Professional		$3,630.78	$4,786.30	$6,760.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,265.80 / $7,244.36	Professional		$2,511.89	$4,265.80	$7,244.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $50,118.72 / $75,857.76	Facility		$3,162.28	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $4,786.30 / $7,585.78	Professional		$398.11	$4,786.30	$7,585.78
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 $2,691.53 / $4,073.80 / $10,715.19	Professional		$2,691.53	$4,073.80	$10,715.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,715.35 / $10,232.93	Facility		$2,818.38	$3,715.35	$10,232.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,168.69 / $10,715.19	Professional		$2,818.38	$4,168.69	$10,715.19