Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,548.13 / $10,964.78	Facility		$1,819.70	$3,548.13	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $3,388.44	Professional		$1,380.38	$1,698.24	$3,388.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $5,888.44 / $12,302.69	Facility		$3,311.31	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $2,951.21	Professional		$1,230.27	$1,479.11	$2,951.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $37,153.52	Facility		$2,137.96	$2,137.96	$37,153.52
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 $1,148.15 / $2,137.96 / $5,495.41	Professional		$1,148.15	$2,137.96	$5,495.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $5,623.41	Facility		$1,548.82	$1,905.46	$5,623.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $3,388.44	Professional		$1,621.81	$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 $1,174.90 / $2,041.74 / $3,162.28	Professional		$1,174.90	$2,041.74	$3,162.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $50,118.72 / $75,857.76	Facility		$1,479.11	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,041.74 / $3,548.13	Professional		$398.11	$2,041.74	$3,548.13
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 $1,148.15 / $1,659.59 / $3,890.45	Professional		$1,148.15	$1,659.59	$3,890.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,819.70 / $5,495.41	Facility		$1,230.27	$1,819.70	$5,495.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,819.70 / $3,801.89	Professional		$1,230.27	$1,819.70	$3,801.89