Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,265.80 / $10,964.78	Facility		$2,511.89	$4,265.80	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,162.28 / $7,244.36	Professional		$2,511.89	$3,162.28	$7,244.36
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 $2,344.23 / $2,754.23 / $5,495.41	Professional		$2,344.23	$2,754.23	$5,495.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $37,153.52	Facility		$3,981.07	$3,981.07	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,897.79 / $7,762.47	Facility		$34.67	$4,897.79	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $10,471.29	Professional		$2,089.30	$3,981.07	$10,471.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,073.80 / $10,232.93	Facility		$2,818.38	$4,073.80	$10,232.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,890.45 / $6,165.95	Professional		$3,019.95	$3,890.45	$6,165.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,630.78 / $5,888.44	Professional		$2,187.76	$3,630.78	$5,888.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $50,118.72 / $75,857.76	Facility		$2,754.23	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $3,801.89 / $6,606.93	Professional		$398.11	$3,801.89	$6,606.93
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 $2,137.96 / $3,162.28 / $7,413.10	Professional		$2,137.96	$3,162.28	$7,413.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,388.44 / $8,317.64	Facility		$2,290.87	$3,388.44	$8,317.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,388.44 / $7,079.46	Professional		$2,290.87	$3,388.44	$7,079.46