Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,801.89 / $10,964.78	Facility		$1,995.26	$3,801.89	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $5,128.61	Professional		$1,698.24	$2,137.96	$5,128.61
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 $1,445.44 / $1,905.46 / $4,786.30	Professional		$1,445.44	$1,905.46	$4,786.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $37,153.52	Facility		$2,454.71	$2,454.71	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,951.21 / $53,703.18	Facility		$34.67	$2,951.21	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,235.94 / $8,511.38	Professional		$1,737.80	$3,235.94	$8,511.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,467.37 / $6,456.54	Facility		$1,995.26	$3,467.37	$6,456.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,454.71 / $3,467.37	Professional		$1,778.28	$2,454.71	$3,467.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,995.26 / $3,162.28	Professional		$1,202.26	$1,995.26	$3,162.28
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 / $2,290.87 / $2,818.38	Professional		$398.11	$2,290.87	$2,818.38
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 $1,659.59 / $2,238.72 / $5,128.61	Professional		$1,659.59	$2,238.72	$5,128.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,187.76 / $6,606.93	Facility		$1,380.38	$2,187.76	$6,606.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,187.76 / $6,456.54	Professional		$1,202.26	$2,187.76	$6,456.54