Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,548.13 / $10,964.78	Facility		$1,819.70	$3,548.13	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $4,570.88	Professional		$1,513.56	$1,905.46	$4,570.88
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 $1,288.25 / $1,698.24 / $4,168.69	Professional		$1,288.25	$1,698.24	$4,168.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $37,153.52	Facility		$2,187.76	$2,187.76	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,630.27 / $50,118.72	Facility		$34.67	$2,630.27	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,884.03 / $7,585.78	Professional		$1,548.82	$2,884.03	$7,585.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,951.21 / $5,888.44	Facility		$1,819.70	$2,951.21	$5,888.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,238.72 / $3,162.28	Professional		$1,621.81	$2,238.72	$3,162.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,778.28 / $2,818.38	Professional		$1,047.13	$1,778.28	$2,818.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $50,118.72 / $75,857.76	Facility		$1,905.46	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,041.74 / $2,511.89	Professional		$398.11	$2,041.74	$2,511.89
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 $1,445.44 / $1,995.26 / $4,570.88	Professional		$1,445.44	$1,995.26	$4,570.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,905.46 / $5,623.41	Facility		$1,230.27	$1,905.46	$5,623.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,905.46 / $5,754.40	Professional		$1,047.13	$1,905.46	$5,754.40