Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,311.31 / $10,964.78	Facility		$1,737.80	$3,311.31	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $4,466.84	Professional		$1,412.54	$1,778.28	$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 $1,202.26 / $1,584.89 / $4,073.80	Professional		$1,202.26	$1,584.89	$4,073.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $37,153.52	Facility		$1,995.26	$1,995.26	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
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 $1,513.56 / $2,754.23 / $6,760.83	Professional		$1,513.56	$2,754.23	$6,760.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $5,128.61	Facility		$1,445.44	$2,041.74	$5,128.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $2,818.38	Professional		$1,445.44	$1,995.26	$2,818.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,659.59 / $2,630.27	Professional		$1,047.13	$1,659.59	$2,630.27
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 / $1,905.46 / $2,398.83	Professional		$398.11	$1,905.46	$2,398.83
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 $1,288.25 / $1,905.46 / $4,365.16	Professional		$1,288.25	$1,905.46	$4,365.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,778.28 / $4,786.30	Facility		$1,148.15	$1,778.28	$4,786.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,778.28 / $5,370.32	Professional		$1,047.13	$1,778.28	$5,370.32