Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,801.89 / $10,964.78	Facility		$2,238.72	$3,801.89	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $5,623.41	Professional		$1,778.28	$2,344.23	$5,623.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $9,772.37 / $18,620.87	Facility		$4,570.88	$9,772.37	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $5,370.32	Professional		$1,548.82	$2,041.74	$5,370.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $37,153.52	Facility		$2,630.27	$2,630.27	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,162.28 / $53,703.18	Facility		$34.67	$3,162.28	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,548.13 / $9,549.93	Professional		$1,905.46	$3,548.13	$9,549.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,801.89 / $6,918.31	Facility		$2,137.96	$3,801.89	$6,918.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,691.53 / $3,715.35	Professional		$1,949.84	$2,691.53	$3,715.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,137.96 / $3,388.44	Professional		$1,288.25	$2,137.96	$3,388.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $50,118.72 / $75,857.76	Facility		$2,238.72	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,454.71 / $3,019.95	Professional		$398.11	$2,454.71	$3,019.95
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 $1,778.28 / $2,454.71 / $5,495.41	Professional		$1,778.28	$2,454.71	$5,495.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,344.23 / $7,413.10	Facility		$1,479.11	$2,344.23	$7,413.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,344.23 / $6,918.31	Professional		$1,288.25	$2,344.23	$6,918.31