Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,162.28 / $10,964.78	Facility		$1,659.59	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $3,019.95	Professional		$1,258.93	$1,513.56	$3,019.95
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 $1,122.02 / $1,318.26 / $2,630.27	Professional		$1,122.02	$1,318.26	$2,630.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $37,153.52	Facility		$1,949.84	$1,949.84	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,344.23 / $7,762.47	Facility		$34.67	$2,344.23	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,949.84 / $5,011.87	Professional		$1,071.52	$1,949.84	$5,011.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $5,011.87	Facility		$1,258.93	$1,698.24	$5,011.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $3,019.95	Professional		$1,479.11	$1,905.46	$3,019.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $2,818.38	Professional		$1,047.13	$1,737.80	$2,818.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $50,118.72 / $75,857.76	Facility		$1,318.26	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,819.70 / $3,162.28	Professional		$398.11	$1,819.70	$3,162.28
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 $1,047.13 / $1,513.56 / $3,548.13	Professional		$1,047.13	$1,513.56	$3,548.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,621.81 / $4,897.79	Facility		$1,096.48	$1,621.81	$4,897.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $3,630.78	Professional		$1,071.52	$1,621.81	$3,630.78