Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,630.78 / $10,964.78	Facility		$1,659.59	$3,630.78	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $3,890.45	Professional		$1,202.26	$1,548.82	$3,890.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $8,511.38 / $16,595.87	Facility		$4,466.84	$8,511.38	$16,595.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $3,467.37	Professional		$1,096.48	$1,380.38	$3,467.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $37,153.52	Facility		$1,862.09	$1,862.09	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,238.72 / $50,118.72	Facility		$34.67	$2,238.72	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,290.87 / $5,888.44	Professional		$1,288.25	$2,290.87	$5,888.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $4,570.88	Facility		$1,122.02	$1,548.82	$4,570.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $2,570.40	Professional		$1,380.38	$1,862.09	$2,570.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $3,235.94	Professional		$1,122.02	$1,621.81	$3,235.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $50,118.72 / $75,857.76	Facility		$1,412.54	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,778.28 / $2,884.03	Professional		$398.11	$1,778.28	$2,884.03
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 $1,096.48 / $1,548.82 / $3,981.07	Professional		$1,096.48	$1,548.82	$3,981.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $4,365.16	Facility		$1,047.13	$1,412.54	$4,365.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $4,073.80	Professional		$1,047.13	$1,584.89	$4,073.80