Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,981.07 / $10,964.78	Facility		$2,454.71	$3,981.07	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,818.38 / $5,623.41	Professional		$2,290.87	$2,818.38	$5,623.41
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 $2,089.30 / $2,454.71 / $5,128.61	Professional		$2,089.30	$2,454.71	$5,128.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $37,153.52	Facility		$3,548.13	$3,548.13	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,365.16 / $7,762.47	Facility		$34.67	$4,365.16	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,630.78 / $9,332.54	Professional		$2,041.74	$3,630.78	$9,332.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,890.45 / $9,120.11	Facility		$2,511.89	$3,890.45	$9,120.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,467.37 / $5,495.41	Professional		$2,691.53	$3,467.37	$5,495.41
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,388.44 / $5,370.32	Professional		$2,089.30	$3,388.44	$5,370.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $50,118.72 / $75,857.76	Facility		$2,570.40	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $3,388.44 / $5,888.44	Professional		$398.11	$3,388.44	$5,888.44
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 $1,949.84 / $2,818.38 / $6,456.54	Professional		$1,949.84	$2,818.38	$6,456.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,019.95 / $9,772.37	Facility		$2,041.74	$3,019.95	$9,772.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,019.95 / $6,760.83	Professional		$2,041.74	$3,019.95	$6,760.83