Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,801.89 / $10,964.78	Facility		$2,344.23	$3,801.89	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,511.89 / $5,754.40	Professional		$1,995.26	$2,511.89	$5,754.40
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 $1,698.24 / $2,238.72 / $5,495.41	Professional		$1,698.24	$2,238.72	$5,495.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $37,153.52	Facility		$2,884.03	$2,884.03	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,467.37 / $50,118.72	Facility		$34.67	$3,467.37	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,548.13 / $9,332.54	Professional		$1,995.26	$3,548.13	$9,332.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,235.94 / $7,413.10	Facility		$2,238.72	$3,235.94	$7,413.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,884.03 / $3,981.07	Professional		$2,089.30	$2,884.03	$3,981.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,344.23 / $3,715.35	Professional		$1,380.38	$2,344.23	$3,715.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $50,118.72 / $75,857.76	Facility		$2,137.96	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,691.53 / $3,311.31	Professional		$398.11	$2,691.53	$3,311.31
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 $1,819.70 / $2,630.27 / $6,025.60	Professional		$1,819.70	$2,630.27	$6,025.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,511.89 / $6,165.95	Facility		$1,621.81	$2,511.89	$6,165.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,511.89 / $7,244.36	Professional		$1,380.38	$2,511.89	$7,244.36