Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,801.89 / $10,964.78	Facility		$1,905.46	$3,801.89	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $3,981.07	Professional		$1,479.11	$1,862.09	$3,981.07
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 $1,318.26 / $1,584.89 / $3,162.28	Professional		$1,318.26	$1,584.89	$3,162.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $37,153.52	Facility		$2,290.87	$2,290.87	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,754.23 / $7,762.47	Facility		$34.67	$2,754.23	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,290.87 / $5,888.44	Professional		$1,258.93	$2,290.87	$5,888.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $6,025.60	Facility		$1,584.89	$1,995.26	$6,025.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $3,548.13	Professional		$1,737.80	$2,290.87	$3,548.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,089.30 / $3,388.44	Professional		$1,258.93	$2,089.30	$3,388.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $50,118.72 / $75,857.76	Facility		$1,584.89	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,187.76 / $3,801.89	Professional		$398.11	$2,187.76	$3,801.89
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 $1,230.27 / $1,778.28 / $4,168.69	Professional		$1,230.27	$1,778.28	$4,168.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $5,754.40	Facility		$1,318.26	$1,905.46	$5,754.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $4,073.80	Professional		$1,318.26	$1,905.46	$4,073.80