Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,715.35 / $10,964.78	Facility		$1,905.46	$3,715.35	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $5,011.87	Professional		$1,584.89	$1,995.26	$5,011.87
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 $1,445.44 / $1,905.46 / $4,677.35	Professional		$1,445.44	$1,905.46	$4,677.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $37,153.52	Facility		$2,238.72	$2,238.72	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,754.23 / $50,118.72	Facility		$34.67	$2,754.23	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,019.95 / $8,511.38	Professional		$1,659.59	$3,019.95	$8,511.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $5,754.40	Facility		$1,819.70	$2,398.83	$5,754.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,238.72 / $3,090.30	Professional		$1,621.81	$2,238.72	$3,090.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,884.03	Professional		$1,148.15	$1,621.81	$2,884.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $50,118.72 / $75,857.76	Facility		$1,862.09	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,089.30 / $2,630.27	Professional		$398.11	$2,089.30	$2,630.27
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 $1,513.56 / $2,089.30 / $4,786.30	Professional		$1,513.56	$2,089.30	$4,786.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,995.26 / $6,456.54	Facility		$1,288.25	$1,995.26	$6,456.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,949.84 / $5,888.44	Professional		$1,174.90	$1,949.84	$5,888.44