Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $5,248.07 / $12,882.50	Facility		$1,819.70	$5,248.07	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $4,786.30	Professional		$1,348.96	$1,819.70	$4,786.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $3,715.35	Professional		$1,148.15	$1,479.11	$3,715.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,467.37 / $13,489.63	Facility		$2,187.76	$3,467.37	$13,489.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $50,118.72	Facility		$2,570.40	$2,570.40	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,041.74 / $5,623.41	Professional		$1,202.26	$2,041.74	$5,623.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $5,128.61	Facility		$1,445.44	$1,819.70	$5,128.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $2,951.21	Professional		$1,548.82	$1,905.46	$2,951.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,778.28 / $3,311.31	Professional		$1,096.48	$1,778.28	$3,311.31
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 / $1,862.09 / $3,235.94	Professional		$398.11	$1,862.09	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,897.79 / $11,481.54	Facility		$2,187.76	$4,897.79	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $3,467.37	Professional		$1,230.27	$1,584.89	$3,467.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,137.96 / $4,466.84	Facility		$1,288.25	$2,137.96	$4,466.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $4,897.79	Professional		$1,230.27	$1,778.28	$4,897.79