Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,162.28 / $10,964.78	Facility		$1,584.89	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $2,884.03	Professional		$1,202.26	$1,412.54	$2,884.03
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 $1,071.52 / $1,258.93 / $2,511.89	Professional		$1,071.52	$1,258.93	$2,511.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $37,153.52	Facility		$1,862.09	$1,862.09	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,238.72 / $7,762.47	Facility		$34.67	$2,238.72	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,862.09 / $4,786.30	Professional		$1,023.29	$1,862.09	$4,786.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $4,786.30	Facility		$1,348.96	$1,905.46	$4,786.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $2,884.03	Professional		$1,412.54	$1,819.70	$2,884.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,659.59 / $2,754.23	Professional		$1,000.00	$1,659.59	$2,754.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $50,118.72 / $75,857.76	Facility		$1,258.93	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,737.80 / $3,019.95	Professional		$398.11	$1,737.80	$3,019.95
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 $977.24 / $1,445.44 / $3,388.44	Professional		$977.24	$1,445.44	$3,388.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,548.82 / $4,570.88	Facility		$1,047.13	$1,548.82	$4,570.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,548.82 / $3,311.31	Professional		$1,047.13	$1,548.82	$3,311.31