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 $977.24 / $2,238.72 / $2,951.21	Professional		$977.24	$2,238.72	$2,951.21
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 $2,041.74 / $2,630.27 / $4,897.79	Professional		$2,041.74	$2,630.27	$4,897.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,388.44 / $37,153.52	Facility		$2,570.40	$3,388.44	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,311.31 / $53,703.18	Facility		$34.67	$3,311.31	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,801.89 / $9,772.37	Professional		$1,862.09	$3,801.89	$9,772.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,011.87 / $11,748.98	Facility		$3,090.30	$5,011.87	$11,748.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $4,365.16 / $5,888.44	Professional		$2,754.23	$4,365.16	$5,888.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $3,890.45 / $5,888.44	Professional		$1,548.82	$3,890.45	$5,888.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $50,118.72 / $75,857.76	Facility		$2,951.21	$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 $1,659.59 / $3,162.28 / $6,760.83	Professional		$1,659.59	$3,162.28	$6,760.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,801.89 / $4,073.80	Facility		$1,819.70	$3,801.89	$4,073.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $3,801.89 / $6,456.54	Professional		$1,548.82	$3,801.89	$6,456.54