Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,073.80 / $10,964.78	Facility		$2,454.71	$4,073.80	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,235.94 / $6,456.54	Professional		$2,187.76	$3,235.94	$6,456.54
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 $2,238.72 / $2,951.21 / $7,413.10	Professional		$2,238.72	$2,951.21	$7,413.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $37,153.52	Facility		$3,801.89	$3,801.89	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,570.88 / $53,703.18	Facility		$34.67	$4,570.88	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,466.84 / $10,000.00	Professional		$2,630.27	$4,466.84	$10,000.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,981.07 / $10,000.00	Facility		$2,754.23	$3,981.07	$10,000.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,715.35 / $5,370.32	Professional		$2,754.23	$3,715.35	$5,370.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,090.30 / $4,897.79	Professional		$1,819.70	$3,090.30	$4,897.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $50,118.72 / $75,857.76	Facility		$2,137.96	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $3,548.13 / $4,466.84	Professional		$398.11	$3,548.13	$4,466.84
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 $2,454.71 / $3,467.37 / $7,943.28	Professional		$2,454.71	$3,467.37	$7,943.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,388.44 / $7,079.46	Facility		$2,137.96	$3,388.44	$7,079.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,388.44 / $8,511.38	Professional		$1,819.70	$3,388.44	$8,511.38