Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,888.44 / $9,332.54	Facility		$3,090.30	$5,888.44	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $2,511.89 / $5,495.41	Professional		$323.59	$2,511.89	$5,495.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $8,128.31	Facility		$3,090.30	$3,090.30	$8,128.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $4,570.88	Professional		$1,258.93	$1,258.93	$4,570.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,090.30 / $3,090.30	Facility		$1,862.09	$3,090.30	$3,090.30
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,090.30 / $3,090.30	Professional		$2,290.87	$3,090.30	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $6,606.93 / $11,220.18	Facility		$2,089.30	$6,606.93	$11,220.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,981.07 / $15,135.61	Professional		$1,905.46	$3,981.07	$15,135.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,090.30 / $7,079.46	Facility		$891.25	$3,090.30	$7,079.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,090.30 / $5,888.44	Professional		$2,187.76	$3,090.30	$5,888.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,090.30 / $5,495.41	Professional		$2,511.89	$3,090.30	$5,495.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,888.44 / $50,118.72	Facility		$4,073.80	$5,888.44	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,235.94	Professional		$3,090.30	$3,090.30	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,090.30 / $3,715.35	Facility		$2,818.38	$3,090.30	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,862.09 / $4,073.80	Professional		$1,318.26	$1,862.09	$4,073.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,311.31 / $4,168.69	Facility		$1,148.15	$3,311.31	$4,168.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,090.30 / $6,165.95	Professional		$2,511.89	$3,090.30	$6,165.95