Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,365.16 / $10,964.78	Facility		$2,570.40	$4,365.16	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,090.30 / $8,912.51	Professional		$2,454.71	$3,090.30	$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 $2,344.23 / $2,951.21 / $7,762.47	Professional		$2,344.23	$2,951.21	$7,762.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $37,153.52	Facility		$4,265.80	$4,265.80	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $5,128.61 / $50,118.72	Facility		$34.67	$5,128.61	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $4,786.30 / $14,454.40	Professional		$2,089.30	$4,786.30	$14,454.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,011.87 / $9,772.37	Facility		$2,754.23	$5,011.87	$9,772.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,630.78 / $5,128.61	Professional		$2,754.23	$3,630.78	$5,128.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,801.89 / $6,309.57	Professional		$2,290.87	$3,801.89	$6,309.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $50,118.72 / $75,857.76	Facility		$2,754.23	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $3,548.13 / $6,025.60	Professional		$398.11	$3,548.13	$6,025.60
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 $2,511.89 / $3,715.35 / $9,120.11	Professional		$2,511.89	$3,715.35	$9,120.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,467.37 / $11,748.98	Facility		$2,454.71	$3,467.37	$11,748.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,630.78 / $9,332.54	Professional		$2,344.23	$3,630.78	$9,332.54