Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,570.88 / $10,964.78	Facility		$2,570.40	$4,570.88	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,715.35 / $7,413.10	Professional		$2,691.53	$3,715.35	$7,413.10
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 $2,630.27 / $3,388.44 / $8,511.38	Professional		$2,630.27	$3,388.44	$8,511.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $37,153.52	Facility		$4,365.16	$4,365.16	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $5,248.07 / $53,703.18	Facility		$34.67	$5,248.07	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $5,370.32 / $12,022.64	Professional		$3,090.30	$5,370.32	$12,022.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,677.35 / $11,481.54	Facility		$3,162.28	$4,677.35	$11,481.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,466.84 / $6,165.95	Professional		$3,235.94	$4,466.84	$6,165.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,548.13 / $5,623.41	Professional		$2,089.30	$3,548.13	$5,623.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $50,118.72 / $75,857.76	Facility		$2,691.53	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $4,073.80 / $5,128.61	Professional		$398.11	$4,073.80	$5,128.61
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 $2,818.38 / $3,981.07 / $9,332.54	Professional		$2,818.38	$3,981.07	$9,332.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,890.45 / $9,332.54	Facility		$2,454.71	$3,890.45	$9,332.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,890.45 / $9,120.11	Professional		$2,089.30	$3,890.45	$9,120.11