Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,801.89 / $10,964.78	Facility		$1,862.09	$3,801.89	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $4,897.79	Professional		$1,479.11	$1,905.46	$4,897.79
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 $1,318.26 / $1,659.59 / $4,073.80	Professional		$1,318.26	$1,659.59	$4,073.80
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 / $50,118.72	Facility		$34.67	$2,754.23	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,630.27 / $7,244.36	Professional		$1,380.38	$2,630.27	$7,244.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $5,495.41	Facility		$1,548.82	$1,905.46	$5,495.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $2,884.03	Professional		$1,513.56	$1,995.26	$2,884.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,290.87 / $3,981.07	Professional		$1,318.26	$2,290.87	$3,981.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $50,118.72 / $75,857.76	Facility		$1,737.80	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,137.96 / $3,548.13	Professional		$398.11	$2,137.96	$3,548.13
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 $1,148.15 / $1,778.28 / $4,786.30	Professional		$1,148.15	$1,778.28	$4,786.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,137.96 / $5,370.32	Facility		$1,288.25	$2,137.96	$5,370.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,137.96 / $5,011.87	Professional		$1,288.25	$2,137.96	$5,011.87