Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,011.87 / $10,964.78	Facility		$2,570.40	$5,011.87	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,801.89 / $7,762.47	Professional		$3,235.94	$3,801.89	$7,762.47
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 $2,884.03 / $3,388.44 / $6,760.83	Professional		$2,884.03	$3,388.44	$6,760.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $37,153.52	Facility		$5,011.87	$5,011.87	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $6,025.60 / $7,762.47	Facility		$34.67	$6,025.60	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,897.79 / $12,882.50	Professional		$2,511.89	$4,897.79	$12,882.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,365.16 / $12,882.50	Facility		$3,162.28	$4,365.16	$12,882.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,897.79 / $7,762.47	Professional		$3,801.89	$4,897.79	$7,762.47
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,677.35 / $7,413.10	Professional		$2,630.27	$4,677.35	$7,413.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $50,118.72 / $75,857.76	Facility		$3,311.31	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $4,677.35 / $8,128.31	Professional		$398.11	$4,677.35	$8,128.31
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 $2,630.27 / $3,890.45 / $9,120.11	Professional		$2,630.27	$3,890.45	$9,120.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,168.69 / $12,302.69	Facility		$2,818.38	$4,168.69	$12,302.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,168.69 / $8,912.51	Professional		$2,818.38	$4,168.69	$8,912.51