Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $5,248.07 / $14,125.38	Facility		$1,905.46	$5,248.07	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,737.80 / $4,466.84	Professional		$1,412.54	$1,737.80	$4,466.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,762.47 / $13,803.84	Facility		$4,073.80	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $3,981.07	Professional		$1,202.26	$1,548.82	$3,981.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,467.37 / $13,489.63	Facility		$2,238.72	$3,467.37	$13,489.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,168.69 / $50,118.72	Facility		$2,570.40	$4,168.69	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,630.27 / $6,918.31	Professional		$1,047.13	$2,630.27	$6,918.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $5,495.41	Facility		$1,548.82	$2,187.76	$5,495.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $2,884.03	Professional		$1,513.56	$1,995.26	$2,884.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,819.70 / $3,890.45	Professional		$1,174.90	$1,819.70	$3,890.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $50,118.72 / $75,857.76	Facility		$1,621.81	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,995.26 / $3,235.94	Professional		$398.11	$1,995.26	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $13,803.84	Facility		$2,398.83	$5,888.44	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,659.59 / $4,466.84	Professional		$831.76	$1,659.59	$4,466.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $5,128.61	Facility		$1,258.93	$1,659.59	$5,128.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $4,897.79	Professional		$1,258.93	$1,819.70	$4,897.79