Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,801.89 / $10,964.78	Facility		$1,949.84	$3,801.89	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $5,888.44	Professional		$1,698.24	$2,187.76	$5,888.44
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 $1,071.52 / $1,380.38 / $4,570.88	Professional		$1,071.52	$1,380.38	$4,570.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $37,153.52	Facility		$2,398.83	$2,398.83	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,884.03 / $50,118.72	Facility		$34.67	$2,884.03	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,162.28 / $8,511.38	Professional		$1,698.24	$3,162.28	$8,511.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,951.21 / $6,606.93	Facility		$1,737.80	$2,951.21	$6,606.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,454.71 / $3,388.44	Professional		$1,737.80	$2,454.71	$3,388.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,949.84 / $3,090.30	Professional		$1,174.90	$1,949.84	$3,090.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $50,118.72 / $75,857.76	Facility		$1,862.09	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,398.83 / $2,754.23	Professional		$1,862.09	$2,398.83	$2,754.23
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 $1,621.81 / $2,187.76 / $5,011.87	Professional		$1,621.81	$2,187.76	$5,011.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $5,888.44	Facility		$1,348.96	$2,137.96	$5,888.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,137.96 / $4,265.80	Professional		$1,174.90	$2,137.96	$4,265.80