Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,677.35 / $22,908.68	Facility		$1,584.89	$4,677.35	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $2,951.21	Professional		$1,174.90	$1,380.38	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,585.78 / $32,359.37	Facility		$3,890.45	$7,585.78	$32,359.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $2,570.40	Professional		$1,047.13	$1,230.27	$2,570.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $37,153.52	Facility		$1,819.70	$1,819.70	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $27,542.29 / $38,904.51	Facility		$2,187.76	$27,542.29	$38,904.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $4,677.35	Professional		$1,096.48	$1,819.70	$4,677.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,862.09 / $38,904.51	Facility		$1,318.26	$1,862.09	$38,904.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $2,818.38	Professional		$1,380.38	$1,819.70	$2,818.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,698.24 / $2,691.53	Professional		$1,023.29	$1,698.24	$2,691.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $50,118.72 / $75,857.76	Facility		$1,513.56	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,698.24 / $3,019.95	Professional		$398.11	$1,698.24	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $9,120.11 / $38,904.51	Facility		$2,238.72	$9,120.11	$38,904.51
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $3,311.31	Professional		$977.24	$1,412.54	$3,311.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $4,466.84	Facility		$1,023.29	$1,513.56	$4,466.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $3,388.44	Professional		$1,023.29	$1,513.56	$3,388.44