Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,162.28 / $10,964.78	Facility		$1,621.81	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $2,951.21	Professional		$1,202.26	$1,513.56	$2,951.21
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 $1,096.48 / $1,288.25 / $2,570.40	Professional		$1,096.48	$1,288.25	$2,570.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $37,153.52	Facility		$1,905.46	$1,905.46	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,290.87 / $7,762.47	Facility		$34.67	$2,290.87	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,862.09 / $4,897.79	Professional		$1,047.13	$1,862.09	$4,897.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,548.82 / $4,073.80	Facility		$1,000.00	$1,548.82	$4,073.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $2,951.21	Professional		$1,445.44	$1,862.09	$2,951.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,778.28 / $2,754.23	Professional		$1,047.13	$1,778.28	$2,754.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $50,118.72 / $75,857.76	Facility		$1,288.25	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,778.28 / $3,090.30	Professional		$398.11	$1,778.28	$3,090.30
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 $1,023.29 / $1,479.11 / $3,467.37	Professional		$1,023.29	$1,479.11	$3,467.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,584.89 / $4,786.30	Facility		$1,071.52	$1,584.89	$4,786.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,584.89 / $3,388.44	Professional		$1,071.52	$1,584.89	$3,388.44