Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,801.89 / $10,964.78	Facility		$2,344.23	$3,801.89	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,511.89 / $6,456.54	Professional		$2,041.74	$2,511.89	$6,456.54
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 $1,698.24 / $2,238.72 / $5,888.44	Professional		$1,698.24	$2,238.72	$5,888.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $37,153.52	Facility		$2,884.03	$2,884.03	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,548.13 / $50,118.72	Facility		$34.67	$3,548.13	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,890.45 / $10,715.19	Professional		$2,137.96	$3,890.45	$10,715.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,890.45 / $7,413.10	Facility		$2,290.87	$3,890.45	$7,413.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,884.03 / $3,981.07	Professional		$2,089.30	$2,884.03	$3,981.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,344.23 / $3,715.35	Professional		$1,479.11	$2,344.23	$3,715.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $50,118.72 / $75,857.76	Facility		$2,344.23	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,884.03 / $3,388.44	Professional		$2,238.72	$2,884.03	$3,388.44
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 $1,949.84 / $2,691.53 / $6,165.95	Professional		$1,949.84	$2,691.53	$6,165.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,570.40 / $6,918.31	Facility		$1,621.81	$2,570.40	$6,918.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,570.40 / $5,128.61	Professional		$1,479.11	$2,570.40	$5,128.61