Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,388.44 / $10,964.78	Facility		$1,778.28	$3,388.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $4,677.35	Professional		$1,445.44	$1,819.70	$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 $1,230.27 / $1,621.81 / $4,073.80	Professional		$1,230.27	$1,621.81	$4,073.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $37,153.52	Facility		$2,089.30	$2,089.30	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,570.40 / $50,118.72	Facility		$34.67	$2,570.40	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,818.38 / $7,762.47	Professional		$1,513.56	$2,818.38	$7,762.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,818.38 / $5,370.32	Facility		$1,584.89	$2,818.38	$5,370.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $2,884.03	Professional		$1,513.56	$2,089.30	$2,884.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,698.24 / $2,691.53	Professional		$1,096.48	$1,698.24	$2,691.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $50,118.72 / $75,857.76	Facility		$1,737.80	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,949.84 / $2,454.71	Professional		$398.11	$1,949.84	$2,454.71
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 $1,412.54 / $1,949.84 / $4,365.16	Professional		$1,412.54	$1,949.84	$4,365.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,862.09 / $5,888.44	Facility		$1,174.90	$1,862.09	$5,888.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $5,495.41	Professional		$1,096.48	$1,862.09	$5,495.41