Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,370.32 / $12,022.64	Facility		$2,570.40	$5,370.32	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,365.16 / $10,232.93	Professional		$3,548.13	$4,365.16	$10,232.93
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 $3,467.37 / $4,365.16 / $10,964.78	Professional		$3,467.37	$4,365.16	$10,964.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $37,153.52	Facility		$5,888.44	$5,888.44	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $7,079.46 / $50,118.72	Facility		$34.67	$7,079.46	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $6,606.93 / $19,952.62	Professional		$3,311.31	$6,606.93	$19,952.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,011.87 / $11,748.98	Facility		$2,818.38	$5,011.87	$11,748.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $6,309.57 / $8,511.38	Professional		$4,786.30	$6,309.57	$8,511.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $5,248.07 / $8,709.64	Professional		$3,019.95	$5,248.07	$8,709.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $50,118.72 / $75,857.76	Facility		$3,630.78	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $5,754.40 / $8,912.51	Professional		$398.11	$5,754.40	$8,912.51
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 $3,981.07 / $5,754.40 / $14,125.38	Professional		$3,981.07	$5,754.40	$14,125.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $14,125.38	Facility		$3,311.31	$4,786.30	$14,125.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $5,011.87 / $10,715.19	Professional		$3,235.94	$5,011.87	$10,715.19