Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,248.07 / $10,964.78	Facility		$2,570.40	$5,248.07	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,981.07 / $7,943.28	Professional		$3,235.94	$3,981.07	$7,943.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,762.47 / $13,803.84	Facility		$3,890.45	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,467.37 / $7,244.36	Professional		$2,951.21	$3,467.37	$7,244.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $37,153.52	Facility		$5,011.87	$5,011.87	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $6,165.95 / $7,762.47	Facility		$34.67	$6,165.95	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $5,011.87 / $13,182.57	Professional		$2,454.71	$5,011.87	$13,182.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,466.84 / $13,182.57	Facility		$3,311.31	$4,466.84	$13,182.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,011.87 / $7,943.28	Professional		$3,890.45	$5,011.87	$7,943.28
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $4,466.84 / $7,413.10	Professional		$2,754.23	$4,466.84	$7,413.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $50,118.72 / $75,857.76	Facility		$3,388.44	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $4,786.30 / $8,511.38	Professional		$398.11	$4,786.30	$8,511.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,073.80 / $9,120.11	Facility		$1,412.54	$4,073.80	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,981.07 / $9,332.54	Professional		$2,570.40	$3,981.07	$9,332.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,168.69 / $10,000.00	Facility		$2,884.03	$4,168.69	$10,000.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,168.69 / $8,912.51	Professional		$2,884.03	$4,168.69	$8,912.51