Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,890.45 / $10,964.78	Facility		$2,454.71	$3,890.45	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,818.38 / $6,606.93	Professional		$2,290.87	$2,818.38	$6,606.93
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 $1,905.46 / $2,511.89 / $6,309.57	Professional		$1,905.46	$2,511.89	$6,309.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $37,153.52	Facility		$3,235.94	$3,235.94	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,890.45 / $53,703.18	Facility		$34.67	$3,890.45	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $4,168.69 / $10,964.78	Professional		$2,238.72	$4,168.69	$10,964.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,890.45 / $8,317.64	Facility		$2,630.27	$3,890.45	$8,317.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,235.94 / $4,466.84	Professional		$2,344.23	$3,235.94	$4,466.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,630.27 / $4,168.69	Professional		$1,548.82	$2,630.27	$4,168.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $50,118.72 / $75,857.76	Facility		$2,344.23	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $3,019.95 / $3,715.35	Professional		$398.11	$3,019.95	$3,715.35
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 $2,137.96 / $2,951.21 / $6,760.83	Professional		$2,137.96	$2,951.21	$6,760.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,884.03 / $7,585.78	Facility		$1,819.70	$2,884.03	$7,585.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,884.03 / $8,511.38	Professional		$1,548.82	$2,884.03	$8,511.38