Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,248.07 / $11,748.98	Facility		$2,570.40	$5,248.07	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,715.35 / $8,912.51	Professional		$2,818.38	$3,715.35	$8,912.51
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 $2,630.27 / $3,311.31 / $9,332.54	Professional		$2,630.27	$3,311.31	$9,332.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $37,153.52	Facility		$4,570.88	$4,570.88	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Professional		$4,570.88	$4,570.88	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $5,495.41 / $50,118.72	Facility		$34.67	$5,495.41	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $5,370.32 / $15,488.17	Professional		$2,754.23	$5,370.32	$15,488.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $5,370.32 / $12,882.50	Facility		$3,548.13	$5,370.32	$12,882.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,897.79 / $7,079.46	Professional		$3,715.35	$4,897.79	$7,079.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $4,073.80 / $6,760.83	Professional		$2,454.71	$4,073.80	$6,760.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $50,118.72 / $75,857.76	Facility		$3,019.95	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $4,466.84 / $6,760.83	Professional		$398.11	$4,466.84	$6,760.83
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 $3,090.30 / $4,570.88 / $11,481.54	Professional		$3,090.30	$4,570.88	$11,481.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,715.35 / $12,589.25	Facility		$2,630.27	$3,715.35	$12,589.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,890.45 / $8,912.51	Professional		$2,570.40	$3,890.45	$8,912.51