Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,073.80 / $10,964.78	Facility		$2,454.71	$4,073.80	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,235.94 / $7,585.78	Professional		$2,511.89	$3,235.94	$7,585.78
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 $2,187.76 / $2,884.03 / $7,079.46	Professional		$2,187.76	$2,884.03	$7,079.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $37,153.52	Facility		$3,630.78	$3,630.78	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,365.16 / $53,703.18	Facility		$34.67	$4,365.16	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,786.30 / $12,302.69	Professional		$2,570.40	$4,786.30	$12,302.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,890.45 / $9,549.93	Facility		$2,951.21	$3,890.45	$9,549.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,715.35 / $5,128.61	Professional		$2,691.53	$3,715.35	$5,128.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,951.21 / $4,677.35	Professional		$1,737.80	$2,951.21	$4,677.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $50,118.72 / $75,857.76	Facility		$2,818.38	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $3,388.44 / $4,168.69	Professional		$398.11	$3,388.44	$4,168.69
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 $2,344.23 / $3,311.31 / $7,585.78	Professional		$2,344.23	$3,311.31	$7,585.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,235.94 / $8,128.31	Facility		$2,041.74	$3,235.94	$8,128.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,235.94 / $9,549.93	Professional		$1,737.80	$3,235.94	$9,549.93