Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,981.07 / $10,964.78	Facility		$1,905.46	$3,981.07	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $4,365.16	Professional		$1,445.44	$1,862.09	$4,365.16
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 $1,348.96 / $1,737.80 / $4,466.84	Professional		$1,348.96	$1,737.80	$4,466.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $37,153.52	Facility		$2,290.87	$2,290.87	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,884.03 / $50,118.72	Facility		$34.67	$2,884.03	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,511.89 / $8,317.64	Professional		$1,584.89	$2,511.89	$8,317.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $6,606.93	Facility		$1,819.70	$2,290.87	$6,606.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,691.53 / $4,073.80	Professional		$1,995.26	$2,691.53	$4,073.80
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,137.96 / $3,467.37	Professional		$1,288.25	$2,137.96	$3,467.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $50,118.72 / $75,857.76	Facility		$1,548.82	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,187.76 / $3,467.37	Professional		$398.11	$2,187.76	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $4,168.69 / $9,332.54	Facility		$1,479.11	$4,168.69	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,238.72 / $5,623.41	Professional		$1,380.38	$2,238.72	$5,623.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $6,309.57	Facility		$1,348.96	$1,905.46	$6,309.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $4,466.84	Professional		$1,348.96	$1,995.26	$4,466.84