Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,162.28 / $10,964.78	Facility		$1,621.81	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $3,981.07	Professional		$1,258.93	$1,621.81	$3,981.07
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 $1,096.48 / $1,412.54 / $3,630.78	Professional		$1,096.48	$1,412.54	$3,630.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $37,153.52	Facility		$1,819.70	$1,819.70	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,187.76 / $50,118.72	Facility		$34.67	$2,187.76	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,454.71 / $6,606.93	Professional		$1,318.26	$2,454.71	$6,606.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,344.23 / $4,570.88	Facility		$1,258.93	$2,344.23	$4,570.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $2,454.71	Professional		$1,288.25	$1,737.80	$2,454.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,479.11 / $2,344.23	Professional		$912.01	$1,479.11	$2,344.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $50,118.72 / $75,857.76	Facility		$1,479.11	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,698.24 / $2,137.96	Professional		$398.11	$1,698.24	$2,137.96
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 $1,202.26 / $1,659.59 / $3,801.89	Professional		$1,202.26	$1,659.59	$3,801.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $5,011.87	Facility		$1,023.29	$1,621.81	$5,011.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,621.81 / $4,786.30	Professional		$912.01	$1,621.81	$4,786.30