Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,890.45 / $10,964.78	Facility		$1,995.26	$3,890.45	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $4,365.16	Professional		$1,584.89	$1,949.84	$4,365.16
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 $1,412.54 / $1,659.59 / $3,388.44	Professional		$1,412.54	$1,659.59	$3,388.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $37,153.52	Facility		$2,454.71	$2,454.71	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,951.21 / $7,762.47	Facility		$34.67	$2,951.21	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,511.89 / $6,309.57	Professional		$1,288.25	$2,511.89	$6,309.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $6,309.57	Facility		$1,737.80	$2,238.72	$6,309.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,398.83 / $3,801.89	Professional		$1,862.09	$2,398.83	$3,801.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,290.87 / $3,630.78	Professional		$1,348.96	$2,290.87	$3,630.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $50,118.72 / $75,857.76	Facility		$1,698.24	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,344.23 / $3,981.07	Professional		$398.11	$2,344.23	$3,981.07
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 $1,348.96 / $1,905.46 / $4,466.84	Professional		$1,348.96	$1,905.46	$4,466.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $6,606.93	Facility		$1,380.38	$2,041.74	$6,606.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $4,365.16	Professional		$1,380.38	$2,041.74	$4,365.16