Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,981.07 / $10,964.78	Facility		$2,454.71	$3,981.07	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,344.23 / $4,786.30	Professional		$1,949.84	$2,344.23	$4,786.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $5,888.44 / $12,302.69	Facility		$3,311.31	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,089.30 / $4,168.69	Professional		$1,737.80	$2,089.30	$4,168.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $37,153.52	Facility		$3,019.95	$3,019.95	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,630.78 / $7,762.47	Facility		$34.67	$3,630.78	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $3,019.95 / $7,762.47	Professional		$1,584.89	$3,019.95	$7,762.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,454.71 / $5,495.41	Facility		$1,096.48	$2,454.71	$5,495.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,951.21 / $4,677.35	Professional		$2,290.87	$2,951.21	$4,677.35
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,691.53 / $4,466.84	Professional		$1,659.59	$2,691.53	$4,466.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $50,118.72 / $75,857.76	Facility		$2,041.74	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,884.03 / $5,011.87	Professional		$398.11	$2,884.03	$5,011.87
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 $1,584.89 / $2,344.23 / $5,495.41	Professional		$1,584.89	$2,344.23	$5,495.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,511.89 / $6,918.31	Facility		$1,737.80	$2,511.89	$6,918.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,511.89 / $5,370.32	Professional		$1,737.80	$2,511.89	$5,370.32