Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,801.89 / $10,964.78	Facility		$2,089.30	$3,801.89	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $5,495.41	Professional		$1,778.28	$2,290.87	$5,495.41
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 $1,513.56 / $1,949.84 / $5,011.87	Professional		$1,513.56	$1,949.84	$5,011.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $37,153.52	Facility		$2,570.40	$2,570.40	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,090.30 / $53,703.18	Facility		$34.67	$3,090.30	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,467.37 / $9,120.11	Professional		$1,819.70	$3,467.37	$9,120.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,801.89 / $6,760.83	Facility		$2,089.30	$3,801.89	$6,760.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $3,715.35	Professional		$1,905.46	$2,630.27	$3,715.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,089.30 / $3,311.31	Professional		$1,230.27	$2,089.30	$3,311.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $50,118.72 / $75,857.76	Facility		$1,995.26	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,398.83 / $2,951.21	Professional		$398.11	$2,398.83	$2,951.21
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 $1,737.80 / $2,344.23 / $5,370.32	Professional		$1,737.80	$2,344.23	$5,370.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,290.87 / $6,918.31	Facility		$1,445.44	$2,290.87	$6,918.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,290.87 / $6,760.83	Professional		$1,230.27	$2,290.87	$6,760.83