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 / $2,089.30 / $5,754.40	Professional		$1,698.24	$2,089.30	$5,754.40
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 $1,479.11 / $1,905.46 / $4,570.88	Professional		$1,479.11	$1,905.46	$4,570.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $37,153.52	Facility		$2,570.40	$2,570.40	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
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 $1,584.89 / $3,019.95 / $8,128.31	Professional		$1,584.89	$3,019.95	$8,128.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,995.26 / $6,165.95	Facility		$1,621.81	$1,995.26	$6,165.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $3,235.94	Professional		$1,698.24	$2,238.72	$3,235.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,630.27 / $3,801.89	Professional		$1,412.54	$2,630.27	$3,801.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $50,118.72 / $75,857.76	Facility		$1,995.26	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,454.71 / $3,981.07	Professional		$398.11	$2,454.71	$3,981.07
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 / $2,041.74 / $5,495.41	Professional		$1,380.38	$2,041.74	$5,495.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,344.23 / $6,309.57	Facility		$1,479.11	$2,344.23	$6,309.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,344.23 / $5,754.40	Professional		$1,445.44	$2,344.23	$5,754.40