Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,801.89 / $10,964.78	Facility		$1,905.46	$3,801.89	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $5,128.61	Professional		$1,659.59	$2,089.30	$5,128.61
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 $1,380.38 / $1,819.70 / $4,897.79	Professional		$1,380.38	$1,819.70	$4,897.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $37,153.52	Facility		$2,454.71	$2,454.71	$37,153.52
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 / $2,818.38 / $50,118.72	Facility		$34.67	$2,818.38	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,162.28 / $8,709.64	Professional		$1,737.80	$3,162.28	$8,709.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,398.83 / $6,025.60	Facility		$1,659.59	$2,398.83	$6,025.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $3,235.94	Professional		$1,659.59	$2,290.87	$3,235.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,905.46 / $3,019.95	Professional		$1,230.27	$1,905.46	$3,019.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $50,118.72 / $75,857.76	Facility		$1,949.84	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,290.87 / $2,884.03	Professional		$398.11	$2,290.87	$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 / $2,238.72 / $5,128.61	Professional		$1,621.81	$2,238.72	$5,128.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,041.74 / $6,165.95	Facility		$1,318.26	$2,041.74	$6,165.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,041.74 / $4,073.80	Professional		$1,230.27	$2,041.74	$4,073.80