Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,162.28 / $9,332.54	Facility		$1,737.80	$3,162.28	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,737.80 / $3,467.37	Professional		$1,445.44	$1,737.80	$3,467.37
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 $1,288.25 / $1,513.56 / $3,090.30	Professional		$1,288.25	$1,513.56	$3,090.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $37,153.52	Facility		$2,238.72	$2,238.72	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,754.23 / $7,762.47	Facility		$34.67	$2,754.23	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,238.72 / $5,754.40	Professional		$1,202.26	$2,238.72	$5,754.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $4,466.84	Facility		$1,096.48	$1,819.70	$4,466.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $3,548.13	Professional		$1,737.80	$2,238.72	$3,548.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,137.96 / $3,311.31	Professional		$1,230.27	$2,137.96	$3,311.31
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 / $2,137.96 / $3,715.35	Professional		$398.11	$2,137.96	$3,715.35
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 $1,230.27 / $1,737.80 / $4,073.80	Professional		$1,230.27	$1,737.80	$4,073.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,905.46 / $5,888.44	Facility		$1,288.25	$1,905.46	$5,888.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,041.74 / $3,981.07	Professional		$1,288.25	$2,041.74	$3,981.07