Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,981.07 / $10,964.78	Facility		$2,454.71	$3,981.07	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $6,606.93	Professional		$2,137.96	$2,691.53	$6,606.93
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 $1,412.54 / $1,819.70 / $6,165.95	Professional		$1,412.54	$1,819.70	$6,165.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $37,153.52	Facility		$3,090.30	$3,090.30	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,630.78 / $50,118.72	Facility		$34.67	$3,630.78	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $4,168.69 / $11,220.18	Professional		$2,238.72	$4,168.69	$11,220.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,311.31 / $7,762.47	Facility		$2,398.83	$3,311.31	$7,762.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,951.21 / $4,168.69	Professional		$2,187.76	$2,951.21	$4,168.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,454.71 / $3,981.07	Professional		$1,548.82	$2,454.71	$3,981.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $50,118.72 / $75,857.76	Facility		$2,454.71	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,884.03 / $3,630.78	Professional		$398.11	$2,884.03	$3,630.78
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 $2,041.74 / $2,884.03 / $6,456.54	Professional		$2,041.74	$2,884.03	$6,456.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,691.53 / $8,511.38	Facility		$1,737.80	$2,691.53	$8,511.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,691.53 / $8,128.31	Professional		$1,548.82	$2,691.53	$8,128.31