Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,786.30 / $7,585.78	Facility		$2,511.89	$4,786.30	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $4,168.69	Professional		$1,698.24	$2,187.76	$4,168.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $6,456.54	Facility		$2,511.89	$2,511.89	$6,456.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $5,623.41	Professional		$1,230.27	$1,230.27	$5,623.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,511.89 / $2,511.89	Facility		$1,513.56	$2,511.89	$2,511.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $3,801.89	Professional		$2,511.89	$2,511.89	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $5,370.32 / $9,120.11	Facility		$1,659.59	$5,370.32	$9,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $3,388.44 / $12,022.64	Professional		$1,548.82	$3,388.44	$12,022.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,235.94 / $6,918.31	Facility		$2,238.72	$3,235.94	$6,918.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,511.89 / $4,786.30	Professional		$1,737.80	$2,511.89	$4,786.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $4,466.84	Professional		$1,995.26	$2,454.71	$4,466.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,786.30 / $50,118.72	Facility		$3,235.94	$4,786.30	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $3,162.28	Professional		$2,511.89	$2,511.89	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,511.89 / $3,019.95	Facility		$2,238.72	$2,511.89	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $3,630.78	Professional		$1,047.13	$1,513.56	$3,630.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $3,981.07	Facility		$2,137.96	$2,691.53	$3,981.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,511.89 / $5,011.87	Professional		$1,995.26	$2,511.89	$5,011.87