Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,801.89 / $10,964.78	Facility		$1,905.46	$3,801.89	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $4,897.79	Professional		$1,621.81	$2,041.74	$4,897.79
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 $1,380.38 / $1,778.28 / $4,466.84	Professional		$1,380.38	$1,778.28	$4,466.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $37,153.52	Facility		$2,344.23	$2,344.23	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,818.38 / $50,118.72	Facility		$34.67	$2,818.38	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,090.30 / $8,128.31	Professional		$1,659.59	$3,090.30	$8,128.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,951.21 / $6,165.95	Facility		$1,905.46	$2,951.21	$6,165.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $3,311.31	Professional		$1,737.80	$2,398.83	$3,311.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,905.46 / $3,019.95	Professional		$1,148.15	$1,905.46	$3,019.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $50,118.72 / $75,857.76	Facility		$1,819.70	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,187.76 / $2,691.53	Professional		$398.11	$2,187.76	$2,691.53
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 $1,548.82 / $2,137.96 / $4,897.79	Professional		$1,548.82	$2,137.96	$4,897.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,041.74 / $5,888.44	Facility		$1,318.26	$2,041.74	$5,888.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,041.74 / $6,165.95	Professional		$1,148.15	$2,041.74	$6,165.95