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 / $4,570.88	Professional		$1,698.24	$2,041.74	$4,570.88
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 $1,548.82 / $1,819.70 / $3,548.13	Professional		$1,548.82	$1,819.70	$3,548.13
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 / $3,162.28 / $7,762.47	Facility		$34.67	$3,162.28	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,630.27 / $6,606.93	Professional		$1,380.38	$2,630.27	$6,606.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $6,456.54	Facility		$1,819.70	$2,290.87	$6,456.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,398.83 / $3,801.89	Professional		$1,949.84	$2,398.83	$3,801.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $3,890.45	Professional		$1,513.56	$2,454.71	$3,890.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $50,118.72 / $75,857.76	Facility		$1,905.46	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,454.71 / $4,265.80	Professional		$398.11	$2,454.71	$4,265.80
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 $1,412.54 / $2,041.74 / $4,570.88	Professional		$1,412.54	$2,041.74	$4,570.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,238.72 / $7,244.36	Facility		$1,513.56	$2,238.72	$7,244.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,290.87 / $4,677.35	Professional		$1,513.56	$2,290.87	$4,677.35