Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,370.32 / $10,964.78	Facility		$2,570.40	$5,370.32	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,168.69 / $8,709.64	Professional		$3,388.44	$4,168.69	$8,709.64
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 $3,019.95 / $3,630.78 / $7,079.46	Professional		$3,019.95	$3,630.78	$7,079.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $37,153.52	Facility		$5,248.07	$5,248.07	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Professional		$5,248.07	$5,248.07	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $6,309.57 / $7,762.47	Facility		$34.67	$6,309.57	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $5,370.32 / $13,489.63	Professional		$2,884.03	$5,370.32	$13,489.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $5,370.32 / $13,489.63	Facility		$3,715.35	$5,370.32	$13,489.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,128.61 / $8,128.31	Professional		$3,981.07	$5,128.61	$8,128.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility		$3,388.44	$3,388.44	$3,388.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,677.35 / $7,762.47	Professional		$3,162.28	$4,677.35	$7,762.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $50,118.72 / $75,857.76	Facility		$4,570.88	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,370.32 / $9,549.93	Professional		$4,570.88	$5,370.32	$9,549.93
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 $3,019.95 / $4,168.69 / $9,549.93	Professional		$3,019.95	$4,168.69	$9,549.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,365.16 / $5,623.41	Facility		$2,951.21	$4,365.16	$5,623.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,365.16 / $7,762.47	Professional		$2,951.21	$4,365.16	$7,762.47