Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,073.80 / $11,481.54	Facility		$2,398.83	$4,073.80	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $6,760.83	Professional		$1,862.09	$2,344.23	$6,760.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $11,481.54 / $19,054.61	Facility		$4,897.79	$11,481.54	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $6,165.95	Professional		$1,737.80	$2,187.76	$6,165.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $37,153.52	Facility		$2,951.21	$2,951.21	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,630.78 / $50,118.72	Facility		$34.67	$3,630.78	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,467.37 / $10,964.78	Professional		$1,905.46	$3,467.37	$10,964.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,548.13 / $8,128.31	Facility		$2,238.72	$3,548.13	$8,128.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,019.95 / $4,168.69	Professional		$2,344.23	$3,019.95	$4,168.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,630.27 / $5,128.61	Professional		$1,659.59	$2,630.27	$5,128.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $50,118.72 / $75,857.76	Facility		$2,041.74	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,884.03 / $4,365.16	Professional		$398.11	$2,884.03	$4,365.16
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 $2,041.74 / $2,951.21 / $7,413.10	Professional		$2,041.74	$2,951.21	$7,413.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,398.83 / $8,912.51	Facility		$1,698.24	$2,398.83	$8,912.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,511.89 / $5,888.44	Professional		$1,659.59	$2,511.89	$5,888.44