Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,073.80 / $11,481.54	Facility		$1,905.46	$4,073.80	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $5,623.41	Professional		$1,698.24	$2,089.30	$5,623.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $11,481.54 / $18,620.87	Facility		$4,897.79	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $5,248.07	Professional		$1,621.81	$2,041.74	$5,248.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $37,153.52	Facility		$2,754.23	$2,754.23	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,388.44 / $50,118.72	Facility		$34.67	$3,388.44	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,235.94 / $10,232.93	Professional		$1,659.59	$3,235.94	$10,232.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $7,762.47	Facility		$2,089.30	$3,981.07	$7,762.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $3,890.45	Professional		$2,187.76	$2,818.38	$3,890.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,454.71 / $4,786.30	Professional		$1,445.44	$2,454.71	$4,786.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $50,118.72 / $75,857.76	Facility		$1,862.09	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,691.53 / $4,168.69	Professional		$398.11	$2,691.53	$4,168.69
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 $1,862.09 / $2,691.53 / $6,760.83	Professional		$1,862.09	$2,691.53	$6,760.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $8,128.31	Facility		$1,584.89	$2,238.72	$8,128.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,344.23 / $6,165.95	Professional		$1,513.56	$2,344.23	$6,165.95