Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,981.07 / $10,964.78	Facility		$2,570.40	$3,981.07	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,090.30 / $6,025.60	Professional		$2,398.83	$3,090.30	$6,025.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,481.54 / $26,302.68	Facility		$5,011.87	$11,481.54	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $7,079.46	Professional		$2,089.30	$2,754.23	$7,079.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $18,620.87	Facility		$3,548.13	$3,548.13	$18,620.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,265.80 / $50,118.72	Facility		$34.67	$4,265.80	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $4,570.88 / $11,748.98	Professional		$2,454.71	$4,570.88	$11,748.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,548.13 / $9,120.11	Facility		$2,511.89	$3,548.13	$9,120.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,467.37 / $4,897.79	Professional		$2,511.89	$3,467.37	$4,897.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,884.03 / $4,570.88	Professional		$1,949.84	$2,884.03	$4,570.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $50,118.72 / $75,857.76	Facility		$3,090.30	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,548.13 / $4,168.69	Professional		$2,754.23	$3,548.13	$4,168.69
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 $2,344.23 / $3,235.94 / $7,585.78	Professional		$2,344.23	$3,235.94	$7,585.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,162.28 / $3,890.45	Facility		$1,905.46	$3,162.28	$3,890.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,884.03 / $4,897.79	Professional		$1,949.84	$2,884.03	$4,897.79