Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,981.07 / $10,964.78	Facility		$2,238.72	$3,981.07	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,511.89 / $5,128.61	Professional		$2,089.30	$2,511.89	$5,128.61
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 $1,905.46 / $2,238.72 / $4,466.84	Professional		$1,905.46	$2,238.72	$4,466.84
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 $1,698.24 / $3,235.94 / $8,317.64	Professional		$1,698.24	$3,235.94	$8,317.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,818.38 / $7,943.28	Facility		$1,949.84	$2,818.38	$7,943.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,162.28 / $5,011.87	Professional		$2,454.71	$3,162.28	$5,011.87
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 $1,778.28 / $2,951.21 / $4,786.30	Professional		$1,778.28	$2,951.21	$4,786.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $50,118.72 / $75,857.76	Facility		$2,238.72	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $3,090.30 / $5,370.32	Professional		$398.11	$3,090.30	$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 $1,737.80 / $2,511.89 / $5,888.44	Professional		$1,737.80	$2,511.89	$5,888.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,691.53 / $7,079.46	Facility		$1,862.09	$2,691.53	$7,079.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,691.53 / $5,754.40	Professional		$1,862.09	$2,691.53	$5,754.40