Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,311.31 / $10,964.78	Facility		$1,778.28	$3,311.31	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $4,570.88	Professional		$1,412.54	$1,778.28	$4,570.88
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 $1,258.93 / $1,621.81 / $3,801.89	Professional		$1,258.93	$1,621.81	$3,801.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,162.28 / $12,882.50	Facility		$2,041.74	$3,162.28	$12,882.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,511.89 / $50,118.72	Facility		$34.67	$2,511.89	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,754.23 / $7,762.47	Professional		$1,513.56	$2,754.23	$7,762.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,754.23 / $5,248.07	Facility		$1,621.81	$2,754.23	$5,248.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,041.74 / $2,818.38	Professional		$1,479.11	$2,041.74	$2,818.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $2,630.27	Professional		$1,096.48	$1,659.59	$2,630.27
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 $1,584.89 / $2,041.74 / $2,398.83	Professional		$1,584.89	$2,041.74	$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 $1,348.96 / $1,905.46 / $4,365.16	Professional		$1,348.96	$1,905.46	$4,365.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,819.70 / $4,570.88	Facility		$1,148.15	$1,819.70	$4,570.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $4,570.88	Professional		$1,096.48	$1,819.70	$4,570.88