Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,981.07 / $10,964.78	Facility		$2,137.96	$3,981.07	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $5,888.44	Professional		$1,819.70	$2,290.87	$5,888.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $8,511.38 / $16,595.87	Facility		$4,466.84	$8,511.38	$16,595.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $5,128.61	Professional		$1,548.82	$2,041.74	$5,128.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $37,153.52	Facility		$2,630.27	$2,630.27	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,235.94 / $50,118.72	Facility		$34.67	$3,235.94	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,548.13 / $9,772.37	Professional		$1,905.46	$3,548.13	$9,772.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,548.13 / $6,760.83	Facility		$2,089.30	$3,548.13	$6,760.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $3,630.78	Professional		$1,905.46	$2,570.40	$3,630.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,137.96 / $3,388.44	Professional		$1,380.38	$2,137.96	$3,388.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $50,118.72 / $75,857.76	Facility		$2,187.76	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,454.71 / $3,090.30	Professional		$398.11	$2,454.71	$3,090.30
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 $1,778.28 / $2,454.71 / $5,495.41	Professional		$1,778.28	$2,454.71	$5,495.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,344.23 / $7,413.10	Facility		$1,479.11	$2,344.23	$7,413.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,344.23 / $6,918.31	Professional		$1,380.38	$2,344.23	$6,918.31