Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,073.80 / $11,481.54	Facility		$2,454.71	$4,073.80	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $7,079.46	Professional		$2,089.30	$2,630.27	$7,079.46
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 $1,949.84 / $2,454.71 / $6,918.31	Professional		$1,949.84	$2,454.71	$6,918.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $37,153.52	Facility		$3,235.94	$3,235.94	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,073.80 / $50,118.72	Facility		$34.67	$4,073.80	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,981.07 / $12,302.69	Professional		$1,995.26	$3,981.07	$12,302.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,073.80 / $9,120.11	Facility		$2,511.89	$4,073.80	$9,120.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,388.44 / $4,570.88	Professional		$2,570.40	$3,388.44	$4,570.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,951.21 / $4,897.79	Professional		$1,949.84	$2,951.21	$4,897.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $50,118.72 / $75,857.76	Facility		$2,344.23	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $3,162.28 / $4,897.79	Professional		$398.11	$3,162.28	$4,897.79
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 $2,290.87 / $3,311.31 / $8,317.64	Professional		$2,290.87	$3,311.31	$8,317.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,691.53 / $10,000.00	Facility		$1,905.46	$2,691.53	$10,000.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,818.38 / $6,606.93	Professional		$1,905.46	$2,818.38	$6,606.93