Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,128.61 / $11,481.54	Facility		$2,570.40	$5,128.61	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,467.37 / $8,709.64	Professional		$2,691.53	$3,467.37	$8,709.64
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 $2,511.89 / $3,235.94 / $9,120.11	Professional		$2,511.89	$3,235.94	$9,120.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $37,153.52	Facility		$4,265.80	$4,265.80	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $5,248.07 / $50,118.72	Facility		$34.67	$5,248.07	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $5,128.61 / $16,218.10	Professional		$2,570.40	$5,128.61	$16,218.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,073.80 / $11,481.54	Facility		$3,311.31	$4,073.80	$11,481.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,365.16 / $5,888.44	Professional		$3,311.31	$4,365.16	$5,888.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,890.45 / $6,456.54	Professional		$2,398.83	$3,890.45	$6,456.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $50,118.72 / $75,857.76	Facility		$2,951.21	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $4,168.69 / $6,456.54	Professional		$398.11	$4,168.69	$6,456.54
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 $2,951.21 / $4,265.80 / $10,964.78	Professional		$2,951.21	$4,265.80	$10,964.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,467.37 / $13,182.57	Facility		$2,454.71	$3,467.37	$13,182.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,890.45 / $8,511.38	Professional		$2,398.83	$3,890.45	$8,511.38