Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,801.89 / $10,964.78	Facility		$1,862.09	$3,801.89	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $4,677.35	Professional		$1,584.89	$1,995.26	$4,677.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $9,772.37 / $18,620.87	Facility		$4,677.35	$9,772.37	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $4,365.16	Professional		$1,318.26	$1,737.80	$4,365.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $37,153.52	Facility		$2,290.87	$2,290.87	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,786.30 / $50,118.72	Facility		$34.67	$4,786.30	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,951.21 / $7,762.47	Professional		$1,584.89	$2,951.21	$7,762.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,884.03 / $6,025.60	Facility		$1,862.09	$2,884.03	$6,025.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,344.23 / $3,235.94	Professional		$1,659.59	$2,344.23	$3,235.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $2,951.21	Professional		$1,096.48	$1,862.09	$2,951.21
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 $398.11 / $2,089.30 / $2,630.27	Professional		$398.11	$2,089.30	$2,630.27
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 / $2,089.30 / $4,786.30	Professional		$1,479.11	$2,089.30	$4,786.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,995.26 / $5,495.41	Facility		$1,288.25	$1,995.26	$5,495.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,995.26 / $6,025.60	Professional		$1,096.48	$1,995.26	$6,025.60