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 $1,318.26 / $1,659.59 / $3,981.07	Professional		$1,318.26	$1,659.59	$3,981.07
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 $1,258.93 / $1,584.89 / $3,890.45	Professional		$1,258.93	$1,584.89	$3,890.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $37,153.52	Facility		$2,137.96	$2,137.96	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,570.40 / $50,118.72	Facility		$34.67	$2,570.40	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,511.89 / $6,606.93	Professional		$1,318.26	$2,511.89	$6,606.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $5,623.41	Facility		$1,659.59	$2,290.87	$5,623.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $2,951.21	Professional		$1,548.82	$2,089.30	$2,951.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,995.26 / $3,235.94	Professional		$1,230.27	$1,995.26	$3,235.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $50,118.72 / $75,857.76	Facility		$1,479.11	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,995.26 / $3,235.94	Professional		$398.11	$1,995.26	$3,235.94
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 $1,445.44 / $1,995.26 / $4,073.80	Professional		$1,445.44	$1,995.26	$4,073.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $4,570.88	Facility		$1,258.93	$1,737.80	$4,570.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,862.09 / $4,265.80	Professional		$1,230.27	$1,862.09	$4,265.80