Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,890.45 / $10,964.78	Facility		$2,041.74	$3,890.45	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,818.38 / $5,623.41	Professional		$1,737.80	$2,818.38	$5,623.41
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 $1,905.46 / $2,511.89 / $6,025.60	Professional		$1,905.46	$2,511.89	$6,025.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $37,153.52	Facility		$3,235.94	$3,235.94	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,981.07 / $50,118.72	Facility		$34.67	$3,981.07	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,630.78 / $8,709.64	Professional		$1,862.09	$3,630.78	$8,709.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,818.38 / $8,317.64	Facility		$2,290.87	$2,818.38	$8,317.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,235.94 / $4,570.88	Professional		$2,344.23	$3,235.94	$4,570.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,691.53 / $4,265.80	Professional		$1,584.89	$2,691.53	$4,265.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $50,118.72 / $75,857.76	Facility		$1,621.81	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $3,019.95 / $3,801.89	Professional		$398.11	$3,019.95	$3,801.89
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 $1,995.26 / $2,951.21 / $6,918.31	Professional		$1,995.26	$2,951.21	$6,918.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,884.03 / $5,623.41	Facility		$1,778.28	$2,884.03	$5,623.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,884.03 / $7,762.47	Professional		$1,584.89	$2,884.03	$7,762.47