Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,981.07 / $10,964.78	Facility		$1,995.26	$3,981.07	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $4,677.35	Professional		$1,548.82	$1,949.84	$4,677.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $11,481.54 / $19,054.61	Facility		$4,786.30	$11,481.54	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,630.27 / $4,677.35	Professional		$2,187.76	$2,630.27	$4,677.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $37,153.52	Facility		$2,398.83	$2,398.83	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,951.21 / $50,118.72	Facility		$34.67	$2,951.21	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,630.27 / $8,709.64	Professional		$1,698.24	$2,630.27	$8,709.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,311.31 / $6,918.31	Facility		$1,862.09	$3,311.31	$6,918.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,754.23 / $4,168.69	Professional		$2,041.74	$2,754.23	$4,168.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,187.76 / $3,630.78	Professional		$1,412.54	$2,187.76	$3,630.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $50,118.72 / $75,857.76	Facility		$1,698.24	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,290.87 / $3,630.78	Professional		$398.11	$2,290.87	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $4,168.69 / $9,772.37	Facility		$1,479.11	$4,168.69	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,344.23 / $6,025.60	Professional		$1,445.44	$2,344.23	$6,025.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $7,079.46	Facility		$1,380.38	$1,995.26	$7,079.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $4,786.30	Professional		$1,380.38	$2,089.30	$4,786.30