Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,548.13 / $10,964.78	Facility		$1,862.09	$3,548.13	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $3,311.31	Professional		$1,412.54	$1,698.24	$3,311.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $8,317.64 / $16,595.87	Facility		$4,466.84	$8,317.64	$16,595.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $3,090.30	Professional		$1,258.93	$1,479.11	$3,090.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,467.37 / $13,489.63	Facility		$2,137.96	$3,467.37	$13,489.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,630.27 / $7,762.47	Facility		$34.67	$2,630.27	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,344.23 / $5,754.40	Professional		$1,380.38	$2,344.23	$5,754.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $5,623.41	Facility		$1,584.89	$2,137.96	$5,623.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $3,388.44	Professional		$1,659.59	$2,137.96	$3,388.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,949.84 / $3,162.28	Professional		$1,122.02	$1,949.84	$3,162.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $50,118.72 / $75,857.76	Facility		$1,412.54	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $3,981.07	Professional		$1,862.09	$2,187.76	$3,981.07
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 $1,258.93 / $1,778.28 / $3,981.07	Professional		$1,258.93	$1,778.28	$3,981.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,819.70 / $3,890.45	Facility		$1,230.27	$1,819.70	$3,890.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,819.70 / $3,630.78	Professional		$1,230.27	$1,819.70	$3,630.78