Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,311.31 / $10,964.78	Facility		$1,819.70	$3,311.31	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $4,677.35	Professional		$1,412.54	$1,778.28	$4,677.35
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 $1,202.26 / $1,584.89 / $3,890.45	Professional		$1,202.26	$1,584.89	$3,890.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $37,153.52	Facility		$2,041.74	$2,041.74	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,454.71 / $50,118.72	Facility		$34.67	$2,454.71	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,691.53 / $7,079.46	Professional		$1,412.54	$2,691.53	$7,079.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $5,495.41	Facility		$1,513.56	$2,187.76	$5,495.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $2,951.21	Professional		$1,513.56	$2,137.96	$2,951.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,380.38 / $2,630.27	Professional		$977.24	$1,380.38	$2,630.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $50,118.72 / $75,857.76	Facility		$1,548.82	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,905.46 / $2,344.23	Professional		$398.11	$1,905.46	$2,344.23
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 $1,380.38 / $1,862.09 / $4,265.80	Professional		$1,380.38	$1,862.09	$4,265.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,819.70 / $5,248.07	Facility		$1,148.15	$1,819.70	$5,248.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,819.70 / $4,677.35	Professional		$977.24	$1,819.70	$4,677.35