Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,981.07 / $10,964.78	Facility		$1,698.24	$3,981.07	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $3,630.78	Professional		$1,174.90	$1,548.82	$3,630.78
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 $1,737.80 / $2,089.30 / $3,715.35	Professional		$1,737.80	$2,089.30	$3,715.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $37,153.52	Facility		$1,905.46	$1,905.46	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,398.83 / $50,118.72	Facility		$34.67	$2,398.83	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,089.30 / $6,918.31	Professional		$1,348.96	$2,089.30	$6,918.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $5,495.41	Facility		$1,513.56	$2,570.40	$5,495.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $3,311.31	Professional		$1,659.59	$2,238.72	$3,311.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $2,884.03	Professional		$1,047.13	$1,737.80	$2,884.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $50,118.72 / $75,857.76	Facility		$1,288.25	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,819.70 / $2,951.21	Professional		$398.11	$1,819.70	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $7,762.47 / $19,498.45	Facility		$2,691.53	$7,762.47	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,862.09 / $4,786.30	Professional		$1,148.15	$1,862.09	$4,786.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $5,888.44	Facility		$1,122.02	$1,584.89	$5,888.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $3,981.07	Professional		$1,096.48	$1,659.59	$3,981.07