Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $5,754.40 / $12,022.64	Facility		$1,905.46	$5,754.40	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,905.46 / $2,454.71	Professional		$1,071.52	$1,905.46	$2,454.71
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 $1,778.28 / $2,187.76 / $4,073.80	Professional		$1,778.28	$2,187.76	$4,073.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,388.44 / $37,153.52	Facility		$2,187.76	$3,388.44	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,754.23 / $53,703.18	Facility		$34.67	$2,754.23	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,311.31 / $7,762.47	Professional		$1,659.59	$3,311.31	$7,762.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,019.95 / $7,079.46	Facility		$1,862.09	$3,019.95	$7,079.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,630.27 / $3,548.13	Professional		$1,659.59	$2,630.27	$3,548.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,862.09 / $3,548.13	Professional		$1,318.26	$1,862.09	$3,548.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $50,118.72 / $75,857.76	Facility		$2,398.83	$50,118.72	$75,857.76
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 / $1,995.26 / $4,265.80	Professional		$1,348.96	$1,995.26	$4,265.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,454.71 / $3,019.95	Facility		$1,380.38	$2,454.71	$3,019.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,290.87 / $3,890.45	Professional		$1,318.26	$2,290.87	$3,890.45