Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $10,964.78	Facility		$2,570.40	$4,466.84	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,715.35 / $8,317.64	Professional		$2,951.21	$3,715.35	$8,317.64
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 $2,511.89 / $3,311.31 / $8,317.64	Professional		$2,511.89	$3,311.31	$8,317.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $37,153.52	Facility		$4,265.80	$4,265.80	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $5,128.61 / $53,703.18	Facility		$34.67	$5,128.61	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $5,495.41 / $14,125.38	Professional		$2,951.21	$5,495.41	$14,125.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,466.84 / $11,220.18	Facility		$3,090.30	$4,466.84	$11,220.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,365.16 / $6,025.60	Professional		$3,162.28	$4,365.16	$6,025.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,467.37 / $5,495.41	Professional		$2,041.74	$3,467.37	$5,495.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $50,118.72 / $75,857.76	Facility		$3,090.30	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $3,981.07 / $4,897.79	Professional		$398.11	$3,981.07	$4,897.79
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 $2,754.23 / $3,890.45 / $8,912.51	Professional		$2,754.23	$3,890.45	$8,912.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,801.89 / $8,912.51	Facility		$2,398.83	$3,801.89	$8,912.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,801.89 / $10,471.29	Professional		$2,041.74	$3,801.89	$10,471.29