Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,548.13 / $10,964.78	Facility		$1,819.70	$3,548.13	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $4,466.84	Professional		$1,513.56	$1,905.46	$4,466.84
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 $1,288.25 / $1,659.59 / $3,981.07	Professional		$1,288.25	$1,659.59	$3,981.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $37,153.52	Facility		$2,187.76	$2,187.76	$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 / $2,630.27 / $50,118.72	Facility		$34.67	$2,630.27	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,818.38 / $7,413.10	Professional		$1,513.56	$2,818.38	$7,413.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $5,754.40	Facility		$1,778.28	$2,290.87	$5,754.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $3,090.30	Professional		$1,584.89	$2,238.72	$3,090.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,778.28 / $2,818.38	Professional		$1,047.13	$1,778.28	$2,818.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $50,118.72 / $75,857.76	Facility		$1,659.59	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,041.74 / $2,511.89	Professional		$398.11	$2,041.74	$2,511.89
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 $1,445.44 / $1,995.26 / $4,570.88	Professional		$1,445.44	$1,995.26	$4,570.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,905.46 / $5,754.40	Facility		$1,230.27	$1,905.46	$5,754.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,905.46 / $5,754.40	Professional		$1,047.13	$1,905.46	$5,754.40