Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,365.16 / $10,964.78	Facility		$2,454.71	$4,365.16	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $6,309.57	Professional		$1,949.84	$2,511.89	$6,309.57
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 $1,819.70 / $2,290.87 / $6,309.57	Professional		$1,819.70	$2,290.87	$6,309.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $37,153.52	Facility		$3,090.30	$3,090.30	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,630.78 / $50,118.72	Facility		$34.67	$3,630.78	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,311.31 / $10,964.78	Professional		$2,137.96	$3,311.31	$10,964.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,981.07 / $8,511.38	Facility		$2,344.23	$3,981.07	$8,511.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,467.37 / $5,248.07	Professional		$2,570.40	$3,467.37	$5,248.07
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,691.53 / $4,570.88	Professional		$1,659.59	$2,691.53	$4,570.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $50,118.72 / $75,857.76	Facility		$2,041.74	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,884.03 / $4,677.35	Professional		$398.11	$2,884.03	$4,677.35
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 $1,819.70 / $2,951.21 / $7,585.78	Professional		$1,819.70	$2,951.21	$7,585.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,511.89 / $8,511.38	Facility		$1,778.28	$2,511.89	$8,511.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,570.40 / $5,888.44	Professional		$1,778.28	$2,570.40	$5,888.44