Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,162.28 / $10,964.78	Facility		$1,621.81	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $3,388.44	Professional		$1,122.02	$1,412.54	$3,388.44
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 $1,071.52 / $1,348.96 / $3,388.44	Professional		$1,071.52	$1,348.96	$3,388.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $37,153.52	Facility		$1,819.70	$1,819.70	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,187.76 / $50,118.72	Facility		$34.67	$2,187.76	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,137.96 / $5,495.41	Professional		$1,148.15	$2,137.96	$5,495.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $4,786.30	Facility		$1,445.44	$1,905.46	$4,786.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $2,511.89	Professional		$1,318.26	$1,778.28	$2,511.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,698.24 / $2,754.23	Professional		$1,047.13	$1,698.24	$2,754.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $50,118.72 / $75,857.76	Facility		$1,230.27	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,698.24 / $2,754.23	Professional		$398.11	$1,698.24	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $7,762.47 / $18,197.01	Facility		$2,818.38	$7,762.47	$18,197.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $3,548.13	Professional		$1,230.27	$1,698.24	$3,548.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $3,801.89	Facility		$1,071.52	$1,479.11	$3,801.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $4,073.80	Professional		$1,047.13	$1,584.89	$4,073.80