Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,677.35 / $10,964.78	Facility		$1,819.70	$4,677.35	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $4,265.80	Professional		$1,258.93	$1,698.24	$4,265.80
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 $1,258.93 / $1,548.82 / $3,630.78	Professional		$1,258.93	$1,548.82	$3,630.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,089.30 / $8,912.51	Facility		$1,995.26	$2,089.30	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,630.27 / $50,118.72	Facility		$1,862.09	$2,630.27	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,187.76 / $7,244.36	Professional		$1,445.44	$2,187.76	$7,244.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,819.70 / $4,265.80	Facility		$1,071.52	$1,819.70	$4,265.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $3,715.35	Professional		$1,819.70	$2,454.71	$3,715.35
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,949.84 / $3,162.28	Professional		$1,148.15	$1,949.84	$3,162.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $50,118.72 / $75,857.76	Facility		$1,412.54	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,137.96 / $3,388.44	Professional		$398.11	$2,137.96	$3,388.44
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 $1,230.27 / $2,041.74 / $5,011.87	Professional		$1,230.27	$2,041.74	$5,011.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $6,165.95	Facility		$1,230.27	$1,737.80	$6,165.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,819.70 / $4,073.80	Professional		$1,174.90	$1,819.70	$4,073.80