Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $10,964.78	Facility		$1,819.70	$3,630.78	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $4,168.69	Professional		$1,412.54	$1,819.70	$4,168.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,762.47 / $13,803.84	Facility		$4,073.80	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $3,801.89	Professional		$1,288.25	$1,621.81	$3,801.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $37,153.52	Facility		$2,238.72	$2,238.72	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,691.53 / $50,118.72	Facility		$34.67	$2,691.53	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,570.40 / $7,079.46	Professional		$1,479.11	$2,570.40	$7,079.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,819.70 / $4,897.79	Facility		$1,202.26	$1,819.70	$4,897.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $3,019.95	Professional		$1,621.81	$2,137.96	$3,019.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,290.87 / $3,890.45	Professional		$1,071.52	$2,290.87	$3,890.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $50,118.72 / $75,857.76	Facility		$1,445.44	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,137.96 / $3,388.44	Professional		$398.11	$2,137.96	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,168.69 / $9,332.54	Facility		$1,513.56	$4,168.69	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $4,786.30	Professional		$1,258.93	$1,778.28	$4,786.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $4,677.35	Facility		$1,258.93	$1,995.26	$4,677.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,041.74 / $4,677.35	Professional		$1,230.27	$2,041.74	$4,677.35