Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,311.31 / $10,964.78	Facility		$1,819.70	$3,311.31	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $4,466.84	Professional		$1,412.54	$1,778.28	$4,466.84
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 $1,202.26 / $1,548.82 / $4,168.69	Professional		$1,202.26	$1,548.82	$4,168.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $37,153.52	Facility		$2,041.74	$2,041.74	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,454.71 / $53,703.18	Facility		$34.67	$2,454.71	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,754.23 / $7,413.10	Professional		$1,445.44	$2,754.23	$7,413.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,019.95 / $5,495.41	Facility		$1,698.24	$3,019.95	$5,495.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $2,951.21	Professional		$1,513.56	$2,089.30	$2,951.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,659.59 / $2,630.27	Professional		$977.24	$1,659.59	$2,630.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $50,118.72 / $75,857.76	Facility		$1,584.89	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,905.46 / $2,344.23	Professional		$398.11	$1,905.46	$2,344.23
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 $1,380.38 / $1,862.09 / $4,265.80	Professional		$1,380.38	$1,862.09	$4,265.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,819.70 / $5,495.41	Facility		$1,148.15	$1,819.70	$5,495.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,819.70 / $5,370.32	Professional		$977.24	$1,819.70	$5,370.32