Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,981.07 / $11,481.54	Facility		$1,949.84	$3,981.07	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $5,623.41	Professional		$1,479.11	$1,905.46	$5,623.41
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 $1,412.54 / $1,778.28 / $4,897.79	Professional		$1,412.54	$1,778.28	$4,897.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $37,153.52	Facility		$2,344.23	$2,344.23	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,951.21 / $50,118.72	Facility		$34.67	$2,951.21	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,818.38 / $8,511.38	Professional		$1,548.82	$2,818.38	$8,511.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,754.23 / $6,606.93	Facility		$1,819.70	$2,754.23	$6,606.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $3,630.78	Professional		$1,905.46	$2,511.89	$3,630.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,187.76 / $3,548.13	Professional		$1,318.26	$2,187.76	$3,548.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $50,118.72 / $75,857.76	Facility		$1,621.81	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,290.87 / $3,548.13	Professional		$398.11	$2,290.87	$3,548.13
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 $1,621.81 / $2,398.83 / $6,025.60	Professional		$1,621.81	$2,398.83	$6,025.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $6,606.93	Facility		$1,380.38	$1,949.84	$6,606.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,187.76 / $5,370.32	Professional		$1,348.96	$2,187.76	$5,370.32