Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,265.80 / $10,000.00	Facility		$1,995.26	$4,265.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $4,570.88	Professional		$1,445.44	$1,905.46	$4,570.88
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 $1,412.54 / $1,819.70 / $4,365.16	Professional		$1,412.54	$1,819.70	$4,365.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $37,153.52	Facility		$2,454.71	$2,454.71	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,951.21 / $50,118.72	Facility		$34.67	$2,951.21	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,884.03 / $7,585.78	Professional		$1,513.56	$2,884.03	$7,585.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $6,309.57	Facility		$1,737.80	$2,290.87	$6,309.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $3,311.31	Professional		$1,778.28	$2,344.23	$3,311.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,290.87 / $3,715.35	Professional		$1,445.44	$2,290.87	$3,715.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $50,118.72 / $75,857.76	Facility		$1,698.24	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,238.72 / $3,715.35	Professional		$398.11	$2,238.72	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,897.79 / $11,481.54	Facility		$2,041.74	$4,897.79	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,290.87 / $4,466.84	Professional		$1,621.81	$2,290.87	$4,466.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $5,495.41	Facility		$1,412.54	$1,995.26	$5,495.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,187.76 / $4,897.79	Professional		$1,412.54	$2,187.76	$4,897.79