Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,760.83 / $10,964.78	Facility		$2,570.40	$6,760.83	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $6,025.60 / $15,848.93	Professional		$5,248.07	$6,025.60	$15,848.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,511.38 / $16,595.87	Facility		$4,570.88	$8,511.38	$16,595.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $6,025.60 / $14,791.08	Professional		$4,677.35	$6,025.60	$14,791.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $37,153.52	Facility		$8,128.31	$8,128.31	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Professional		$8,128.31	$8,128.31	$8,128.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $9,772.37 / $50,118.72	Facility		$34.67	$9,772.37	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $10,000.00 / $25,703.96	Professional		$5,128.61	$10,000.00	$25,703.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $6,025.60 / $14,791.08	Facility		$2,818.38	$6,025.60	$14,791.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $7,762.47 / $10,964.78	Professional		$5,888.44	$7,762.47	$10,964.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $12,022.64	Professional		$4,897.79	$7,413.10	$12,022.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $50,118.72 / $75,857.76	Facility		$4,786.30	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $8,128.31 / $12,589.25	Professional		$398.11	$8,128.31	$12,589.25
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 $4,897.79 / $7,079.46 / $16,982.44	Professional		$4,897.79	$7,079.46	$16,982.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,370.32 / $16,218.10	Facility		$4,570.88	$5,370.32	$16,218.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $6,606.93 / $14,125.38	Professional		$4,570.88	$6,606.93	$14,125.38