Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $5,754.40 / $10,964.78	Facility		$1,905.46	$5,754.40	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,466.84 / $10,471.29	Professional		$3,548.13	$4,466.84	$10,471.29
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 $3,311.31 / $4,168.69 / $11,748.98	Professional		$3,311.31	$4,168.69	$11,748.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $37,153.52	Facility		$5,495.41	$5,495.41	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Professional		$5,495.41	$5,495.41	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $6,918.31 / $50,118.72	Facility		$34.67	$6,918.31	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $6,606.93 / $19,498.45	Professional		$3,388.44	$6,606.93	$19,498.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,754.40 / $15,135.61	Facility		$4,168.69	$5,754.40	$15,135.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,623.41 / $7,762.47	Professional		$4,365.16	$5,623.41	$7,762.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $5,011.87 / $9,772.37	Professional		$3,162.28	$5,011.87	$9,772.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $50,118.72 / $75,857.76	Facility		$3,801.89	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $5,495.41 / $8,511.38	Professional		$398.11	$5,495.41	$8,511.38
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 $3,715.35 / $5,623.41 / $14,125.38	Professional		$3,715.35	$5,623.41	$14,125.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,570.88 / $14,791.08	Facility		$3,235.94	$4,570.88	$14,791.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,786.30 / $10,964.78	Professional		$3,162.28	$4,786.30	$10,964.78