Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,265.80 / $10,964.78	Facility		$2,137.96	$4,265.80	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $5,370.32	Professional		$1,659.59	$2,089.30	$5,370.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $11,481.54 / $18,620.87	Facility		$4,786.30	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $5,248.07	Professional		$1,548.82	$1,949.84	$5,248.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $37,153.52	Facility		$2,570.40	$2,570.40	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,235.94 / $50,118.72	Facility		$34.67	$3,235.94	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,818.38 / $9,772.37	Professional		$1,862.09	$2,818.38	$9,772.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,630.78 / $7,413.10	Facility		$1,995.26	$3,630.78	$7,413.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,951.21 / $4,466.84	Professional		$2,187.76	$2,951.21	$4,466.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,344.23 / $3,890.45	Professional		$1,513.56	$2,344.23	$3,890.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $50,118.72 / $75,857.76	Facility		$1,819.70	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,454.71 / $3,981.07	Professional		$398.11	$2,454.71	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $4,168.69 / $9,120.11	Facility		$1,479.11	$4,168.69	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,511.89 / $6,456.54	Professional		$1,548.82	$2,511.89	$6,456.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $7,762.47	Facility		$1,513.56	$2,137.96	$7,762.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,238.72 / $5,248.07	Professional		$1,513.56	$2,238.72	$5,248.07