Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $5,248.07 / $12,022.64	Facility		$1,621.81	$5,248.07	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $3,715.35	Professional		$1,122.02	$1,445.44	$3,715.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,220.18 / $19,054.61	Facility		$5,011.87	$11,220.18	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $3,388.44	Professional		$1,047.13	$1,318.26	$3,388.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $12,302.69	Facility		$1,862.09	$1,862.09	$12,302.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,238.72 / $50,118.72	Facility		$34.67	$2,238.72	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,290.87 / $6,025.60	Professional		$1,148.15	$2,290.87	$6,025.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,344.23 / $4,466.84	Facility		$1,348.96	$2,344.23	$4,466.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $2,344.23	Professional		$1,230.27	$1,621.81	$2,344.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $2,754.23	Professional		$1,148.15	$1,698.24	$2,754.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $50,118.72 / $75,857.76	Facility		$1,380.38	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $3,467.37	Professional		$1,584.89	$1,862.09	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $14,791.08	Facility		$2,398.83	$5,888.44	$14,791.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $3,467.37	Professional		$1,258.93	$1,778.28	$3,467.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $4,466.84	Facility		$1,071.52	$1,513.56	$4,466.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,584.89 / $4,168.69	Professional		$1,071.52	$1,584.89	$4,168.69