Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,073.80 / $11,481.54	Facility		$2,137.96	$4,073.80	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $5,248.07	Professional		$1,659.59	$2,089.30	$5,248.07
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 $1,548.82 / $1,949.84 / $5,495.41	Professional		$1,548.82	$1,949.84	$5,495.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $37,153.52	Facility		$2,570.40	$2,570.40	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,235.94 / $50,118.72	Facility		$34.67	$3,235.94	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,090.30 / $9,772.37	Professional		$1,698.24	$3,090.30	$9,772.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,548.13 / $7,413.10	Facility		$1,995.26	$3,548.13	$7,413.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,691.53 / $3,715.35	Professional		$2,089.30	$2,691.53	$3,715.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,344.23 / $3,890.45	Professional		$1,513.56	$2,344.23	$3,890.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $50,118.72 / $75,857.76	Facility		$1,819.70	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,511.89 / $3,890.45	Professional		$398.11	$2,511.89	$3,890.45
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 $1,778.28 / $2,630.27 / $6,606.93	Professional		$1,778.28	$2,630.27	$6,606.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $6,025.60	Facility		$1,513.56	$2,137.96	$6,025.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,238.72 / $5,888.44	Professional		$1,513.56	$2,238.72	$5,888.44