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 $1,949.84 / $2,454.71 / $6,606.93	Professional		$1,949.84	$2,454.71	$6,606.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $11,481.54 / $18,620.87	Facility		$4,897.79	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $6,456.54	Professional		$1,819.70	$2,290.87	$6,456.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $37,153.52	Facility		$3,019.95	$3,019.95	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,715.35 / $50,118.72	Facility		$34.67	$3,715.35	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,715.35 / $11,481.54	Professional		$1,905.46	$3,715.35	$11,481.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,073.80 / $8,511.38	Facility		$2,511.89	$4,073.80	$8,511.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,162.28 / $4,265.80	Professional		$2,398.83	$3,162.28	$4,265.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,754.23 / $4,570.88	Professional		$1,819.70	$2,754.23	$4,570.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $50,118.72 / $75,857.76	Facility		$2,238.72	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $5,623.41	Professional		$2,630.27	$3,090.30	$5,623.41
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 $2,089.30 / $3,090.30 / $7,762.47	Professional		$2,089.30	$3,090.30	$7,762.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,511.89 / $8,128.31	Facility		$1,737.80	$2,511.89	$8,128.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,630.27 / $6,606.93	Professional		$1,737.80	$2,630.27	$6,606.93