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 $2,454.71 / $3,019.95 / $6,025.60	Professional		$2,454.71	$3,019.95	$6,025.60
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 $2,187.76 / $2,570.40 / $5,128.61	Professional		$2,187.76	$2,570.40	$5,128.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $37,153.52	Facility		$3,801.89	$3,801.89	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,570.88 / $7,762.47	Facility		$34.67	$4,570.88	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,801.89 / $9,772.37	Professional		$2,137.96	$3,801.89	$9,772.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,890.45 / $9,772.37	Facility		$2,691.53	$3,890.45	$9,772.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,715.35 / $5,888.44	Professional		$2,884.03	$3,715.35	$5,888.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,388.44 / $5,623.41	Professional		$2,137.96	$3,388.44	$5,623.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $50,118.72 / $75,857.76	Facility		$2,630.27	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $3,630.78 / $6,309.57	Professional		$398.11	$3,630.78	$6,309.57
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 $2,041.74 / $2,951.21 / $6,918.31	Professional		$2,041.74	$2,951.21	$6,918.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,162.28 / $9,549.93	Facility		$2,137.96	$3,162.28	$9,549.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,162.28 / $7,244.36	Professional		$2,137.96	$3,162.28	$7,244.36