Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,801.89 / $10,964.78	Facility		$1,995.26	$3,801.89	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $5,495.41	Professional		$1,698.24	$2,137.96	$5,495.41
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 $1,445.44 / $1,905.46 / $4,570.88	Professional		$1,445.44	$1,905.46	$4,570.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,467.37 / $13,489.63	Facility		$2,454.71	$3,467.37	$13,489.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,951.21 / $50,118.72	Facility		$34.67	$2,951.21	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,311.31 / $9,332.54	Professional		$1,819.70	$3,311.31	$9,332.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,311.31 / $6,309.57	Facility		$1,949.84	$3,311.31	$6,309.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $3,388.44	Professional		$1,778.28	$2,398.83	$3,388.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,995.26 / $3,162.28	Professional		$1,318.26	$1,995.26	$3,162.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $50,118.72 / $75,857.76	Facility		$2,089.30	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $2,884.03	Professional		$1,905.46	$2,454.71	$2,884.03
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 $1,621.81 / $2,290.87 / $5,248.07	Professional		$1,621.81	$2,290.87	$5,248.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,187.76 / $5,495.41	Facility		$1,380.38	$2,187.76	$5,495.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,187.76 / $5,495.41	Professional		$1,318.26	$2,187.76	$5,495.41