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 $1,096.48 / $2,089.30 / $2,691.53	Professional		$1,096.48	$2,089.30	$2,691.53
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 $2,238.72 / $2,818.38 / $5,128.61	Professional		$2,238.72	$2,818.38	$5,128.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,388.44 / $37,153.52	Facility		$2,398.83	$3,388.44	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,019.95 / $53,703.18	Facility		$34.67	$3,019.95	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $8,912.51	Professional		$1,819.70	$3,630.78	$8,912.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,630.78 / $8,511.38	Facility		$2,238.72	$3,630.78	$8,511.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,162.28 / $4,265.80	Professional		$1,995.26	$3,162.28	$4,265.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,818.38 / $4,265.80	Professional		$1,380.38	$2,818.38	$4,265.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $50,118.72 / $75,857.76	Facility		$2,511.89	$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 $1,584.89 / $2,344.23 / $5,128.61	Professional		$1,584.89	$2,344.23	$5,128.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,951.21 / $3,235.94	Facility		$1,479.11	$2,951.21	$3,235.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,818.38 / $4,677.35	Professional		$1,380.38	$2,818.38	$4,677.35