Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,897.79 / $11,481.54	Facility		$2,570.40	$4,897.79	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,715.35 / $9,120.11	Professional		$2,884.03	$3,715.35	$9,120.11
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 $2,691.53 / $3,388.44 / $9,549.93	Professional		$2,691.53	$3,388.44	$9,549.93
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 / $5,623.41 / $50,118.72	Facility		$34.67	$5,623.41	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $5,370.32 / $16,595.87	Professional		$2,754.23	$5,370.32	$16,595.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $5,754.40 / $12,589.25	Facility		$3,548.13	$5,754.40	$12,589.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,786.30 / $6,456.54	Professional		$3,630.78	$4,786.30	$6,456.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,073.80 / $8,128.31	Professional		$2,630.27	$4,073.80	$8,128.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $50,118.72 / $75,857.76	Facility		$3,162.28	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $4,466.84 / $6,918.31	Professional		$398.11	$4,466.84	$6,918.31
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 $3,162.28 / $4,570.88 / $11,748.98	Professional		$3,162.28	$4,570.88	$11,748.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,715.35 / $13,182.57	Facility		$2,630.27	$3,715.35	$13,182.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,890.45 / $10,232.93	Professional		$2,630.27	$3,890.45	$10,232.93