Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,801.89 / $10,232.93	Facility		$1,513.56	$3,801.89	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $3,388.44	Professional		$1,047.13	$1,348.96	$3,388.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,762.47 / $13,803.84	Facility		$3,981.07	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $2,951.21	Professional		$954.99	$1,202.26	$2,951.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,698.24 / $6,165.95	Facility		$1,659.59	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $50,118.72	Facility		$1,659.59	$1,995.26	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,819.70 / $5,623.41	Professional		$1,148.15	$1,819.70	$5,623.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $4,168.69	Facility		$1,148.15	$1,380.38	$4,168.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $2,454.71	Professional		$1,230.27	$1,698.24	$2,454.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,513.56 / $2,454.71	Professional		$977.24	$1,513.56	$2,454.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $50,118.72 / $75,857.76	Facility		$1,230.27	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,621.81 / $2,630.27	Professional		$398.11	$1,621.81	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,897.79 / $12,882.50	Facility		$2,344.23	$4,897.79	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,548.82 / $3,801.89	Professional		$977.24	$1,548.82	$3,801.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,348.96 / $4,786.30	Facility		$954.99	$1,348.96	$4,786.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $3,467.37	Professional		$977.24	$1,412.54	$3,467.37