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 $1,348.96 / $1,659.59 / $4,365.16	Professional		$1,348.96	$1,659.59	$4,365.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $3,981.07	Professional		$1,230.27	$1,548.82	$3,981.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,467.37 / $13,489.63	Facility		$2,137.96	$3,467.37	$13,489.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,168.69 / $50,118.72	Facility		$2,511.89	$4,168.69	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,570.40 / $6,760.83	Professional		$1,000.00	$2,570.40	$6,760.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $5,011.87	Facility		$1,548.82	$2,187.76	$5,011.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,862.09 / $2,691.53	Professional		$1,548.82	$1,862.09	$2,691.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $3,715.35	Professional		$1,122.02	$1,737.80	$3,715.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $50,118.72 / $75,857.76	Facility		$4,786.30	$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 / $13,489.63	Facility		$2,398.83	$5,888.44	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,659.59 / $4,466.84	Professional		$812.83	$1,659.59	$4,466.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $5,011.87	Facility		$1,230.27	$1,584.89	$5,011.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $4,786.30	Professional		$1,122.02	$1,737.80	$4,786.30