Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,981.07 / $10,964.78	Facility		$2,398.83	$3,981.07	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,454.71 / $5,128.61	Professional		$2,041.74	$2,454.71	$5,128.61
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 $1,862.09 / $2,187.76 / $4,265.80	Professional		$1,862.09	$2,187.76	$4,265.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $37,153.52	Facility		$3,235.94	$3,235.94	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,890.45 / $7,762.47	Facility		$34.67	$3,890.45	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $3,162.28 / $8,317.64	Professional		$1,548.82	$3,162.28	$8,317.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,630.27 / $6,025.60	Facility		$1,202.26	$2,630.27	$6,025.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,235.94 / $5,128.61	Professional		$2,511.89	$3,235.94	$5,128.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,090.30 / $4,786.30	Professional		$1,659.59	$3,090.30	$4,786.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $50,118.72 / $75,857.76	Facility		$2,089.30	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $3,019.95 / $5,370.32	Professional		$398.11	$3,019.95	$5,370.32
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 $1,698.24 / $2,454.71 / $5,754.40	Professional		$1,698.24	$2,454.71	$5,754.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,691.53 / $7,585.78	Facility		$1,819.70	$2,691.53	$7,585.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,691.53 / $5,754.40	Professional		$1,819.70	$2,691.53	$5,754.40