Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,235.94 / $10,964.78	Facility		$1,698.24	$3,235.94	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,737.80 / $4,466.84	Professional		$1,412.54	$1,737.80	$4,466.84
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 $1,174.90 / $1,548.82 / $4,168.69	Professional		$1,174.90	$1,548.82	$4,168.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $37,153.52	Facility		$1,995.26	$1,995.26	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,398.83 / $50,118.72	Facility		$34.67	$2,398.83	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,691.53 / $7,413.10	Professional		$1,479.11	$2,691.53	$7,413.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $5,128.61	Facility		$1,380.38	$1,659.59	$5,128.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $2,754.23	Professional		$1,445.44	$1,995.26	$2,754.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,621.81 / $2,570.40	Professional		$1,047.13	$1,621.81	$2,570.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $50,118.72 / $75,857.76	Facility		$1,659.59	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,862.09 / $2,344.23	Professional		$398.11	$1,862.09	$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 $1,348.96 / $1,862.09 / $4,265.80	Professional		$1,348.96	$1,862.09	$4,265.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,778.28 / $5,754.40	Facility		$1,122.02	$1,778.28	$5,754.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,778.28 / $4,168.69	Professional		$1,047.13	$1,778.28	$4,168.69