Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,265.80 / $10,964.78	Facility		$2,570.40	$4,265.80	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,548.13 / $8,317.64	Professional		$2,818.38	$3,548.13	$8,317.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,220.18 / $19,054.61	Facility		$5,011.87	$11,220.18	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,090.30 / $7,762.47	Professional		$2,344.23	$3,090.30	$7,762.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $37,153.52	Facility		$3,981.07	$3,981.07	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,897.79 / $53,703.18	Facility		$34.67	$4,897.79	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $5,128.61 / $13,489.63	Professional		$2,818.38	$5,128.61	$13,489.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,265.80 / $10,471.29	Facility		$2,884.03	$4,265.80	$10,471.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,073.80 / $5,623.41	Professional		$2,951.21	$4,073.80	$5,623.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,311.31 / $5,248.07	Professional		$1,949.84	$3,311.31	$5,248.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $50,118.72 / $75,857.76	Facility		$3,019.95	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $3,715.35 / $4,677.35	Professional		$398.11	$3,715.35	$4,677.35
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 $2,570.40 / $3,630.78 / $8,317.64	Professional		$2,570.40	$3,630.78	$8,317.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,548.13 / $8,709.64	Facility		$2,290.87	$3,548.13	$8,709.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,548.13 / $10,232.93	Professional		$1,949.84	$3,548.13	$10,232.93