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 $2,398.83 / $2,951.21 / $6,760.83	Professional		$2,398.83	$2,951.21	$6,760.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,762.47 / $13,803.84	Facility		$4,073.80	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $6,606.93	Professional		$1,995.26	$2,570.40	$6,606.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $37,153.52	Facility		$3,388.44	$3,388.44	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Professional		$3,388.44	$3,388.44	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,073.80 / $50,118.72	Facility		$34.67	$4,073.80	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,265.80 / $11,220.18	Professional		$2,398.83	$4,265.80	$11,220.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,365.16 / $8,709.64	Facility		$2,691.53	$4,365.16	$8,709.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,388.44 / $4,677.35	Professional		$2,454.71	$3,388.44	$4,677.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,754.23 / $4,365.16	Professional		$1,659.59	$2,754.23	$4,365.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $50,118.72 / $75,857.76	Facility		$2,630.27	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,311.31 / $3,890.45	Professional		$2,630.27	$3,311.31	$3,890.45
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 $2,238.72 / $3,090.30 / $7,079.46	Professional		$2,238.72	$3,090.30	$7,079.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,951.21 / $8,128.31	Facility		$1,905.46	$2,951.21	$8,128.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,951.21 / $5,888.44	Professional		$1,659.59	$2,951.21	$5,888.44