Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,760.83 / $10,964.78	Facility		$3,715.35	$6,760.83	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,311.31 / $6,456.54	Professional		$2,344.23	$3,311.31	$6,456.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $10,000.00	Facility		$3,890.45	$3,890.45	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $7,413.10	Professional		$1,548.82	$1,548.82	$7,413.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,890.45 / $3,890.45	Facility		$2,344.23	$3,890.45	$3,890.45
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,890.45 / $3,890.45	Professional		$2,818.38	$3,890.45	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,495.41 / $13,803.84	Facility		$2,511.89	$5,495.41	$13,803.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $4,786.30 / $18,620.87	Professional		$2,187.76	$4,786.30	$18,620.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $5,011.87 / $10,715.19	Facility		$3,467.37	$5,011.87	$10,715.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,801.89 / $7,413.10	Professional		$2,691.53	$3,801.89	$7,413.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,715.35 / $6,918.31	Professional		$3,090.30	$3,715.35	$6,918.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,244.36 / $50,118.72	Facility		$5,011.87	$7,244.36	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,981.07	Professional		$3,890.45	$3,890.45	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,890.45 / $4,677.35	Facility		$3,467.37	$3,890.45	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $5,128.61	Professional		$1,621.81	$2,344.23	$5,128.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,073.80 / $5,248.07	Facility		$2,818.38	$4,073.80	$5,248.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,890.45 / $7,585.78	Professional		$3,090.30	$3,890.45	$7,585.78