Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $5,495.41 / $12,022.64	Facility		$2,630.27	$5,495.41	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,388.44 / $6,918.31	Professional		$2,884.03	$3,388.44	$6,918.31
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 $2,570.40 / $3,019.95 / $6,025.60	Professional		$2,570.40	$3,019.95	$6,025.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $37,153.52	Facility		$4,466.84	$4,466.84	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $5,370.32 / $7,762.47	Facility		$34.67	$5,370.32	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $4,570.88 / $11,481.54	Professional		$2,454.71	$4,570.88	$11,481.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,570.88 / $11,481.54	Facility		$3,162.28	$4,570.88	$11,481.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,365.16 / $6,918.31	Professional		$3,388.44	$4,365.16	$6,918.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,168.69 / $6,606.93	Professional		$2,691.53	$4,168.69	$6,606.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $50,118.72 / $75,857.76	Facility		$3,801.89	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,570.88 / $8,128.31	Professional		$3,890.45	$4,570.88	$8,128.31
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 $2,511.89 / $3,467.37 / $8,128.31	Professional		$2,511.89	$3,467.37	$8,128.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,715.35 / $4,677.35	Facility		$2,511.89	$3,715.35	$4,677.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,715.35 / $7,244.36	Professional		$2,511.89	$3,715.35	$7,244.36