Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,801.89 / $10,964.78	Facility		$2,041.74	$3,801.89	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,041.74 / $5,623.41	Professional		$1,698.24	$2,041.74	$5,623.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $4,466.84	Professional		$1,479.11	$1,862.09	$4,466.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $37,153.52	Facility		$2,511.89	$2,511.89	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,090.30 / $50,118.72	Facility		$34.67	$3,090.30	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,951.21 / $8,128.31	Professional		$1,548.82	$2,951.21	$8,128.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,090.30 / $6,165.95	Facility		$1,862.09	$3,090.30	$6,165.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $3,235.94	Professional		$1,659.59	$2,238.72	$3,235.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,630.27 / $4,466.84	Professional		$1,380.38	$2,630.27	$4,466.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $50,118.72 / $75,857.76	Facility		$1,949.84	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,398.83 / $3,890.45	Professional		$398.11	$2,398.83	$3,890.45
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 $1,380.38 / $1,995.26 / $5,370.32	Professional		$1,380.38	$1,995.26	$5,370.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,290.87 / $6,309.57	Facility		$1,445.44	$2,290.87	$6,309.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,344.23 / $5,623.41	Professional		$1,445.44	$2,344.23	$5,623.41