Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,162.28 / $9,332.54	Facility		$1,778.28	$3,162.28	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,041.74 / $4,365.16	Professional		$1,698.24	$2,041.74	$4,365.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $5,623.41 / $12,302.69	Facility		$3,311.31	$5,623.41	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $3,467.37	Professional		$1,513.56	$1,778.28	$3,467.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $37,153.52	Facility		$2,630.27	$2,630.27	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,090.30 / $7,762.47	Facility		$34.67	$3,090.30	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,630.27 / $6,606.93	Professional		$1,348.96	$2,630.27	$6,606.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $6,309.57	Facility		$1,778.28	$2,290.87	$6,309.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $3,715.35	Professional		$1,862.09	$2,344.23	$3,715.35
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,238.72 / $3,801.89	Professional		$1,479.11	$2,238.72	$3,801.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $50,118.72 / $75,857.76	Facility		$1,862.09	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,454.71 / $4,168.69	Professional		$398.11	$2,454.71	$4,168.69
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 $1,380.38 / $1,995.26 / $4,677.35	Professional		$1,380.38	$1,995.26	$4,677.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,137.96 / $7,079.46	Facility		$1,479.11	$2,137.96	$7,079.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,137.96 / $4,570.88	Professional		$1,479.11	$2,137.96	$4,570.88