Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $5,888.44 / $13,803.84	Facility		$1,819.70	$5,888.44	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,479.11 / $4,073.80	Professional		$1,202.26	$1,479.11	$4,073.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $14,125.38 / $34,673.69	Facility		$6,165.95	$14,125.38	$34,673.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $3,388.44	Professional		$1,096.48	$1,445.44	$3,388.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $13,803.84	Facility		$1,862.09	$1,862.09	$13,803.84
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $25,703.96 / $50,118.72	Facility		$12,589.25	$25,703.96	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,238.72 / $6,456.54	Professional		$1,412.54	$2,238.72	$6,456.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,380.38 / $5,370.32	Facility		$489.78	$1,380.38	$5,370.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,398.83	Professional		$1,258.93	$1,737.80	$2,398.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $2,398.83	Professional		$1,047.13	$1,513.56	$2,398.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $6,606.93 / $50,118.72	Facility		$1,445.44	$6,606.93	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $2,137.96	Professional		$1,445.44	$1,819.70	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $12,022.64 / $33,113.11	Facility		$2,884.03	$12,022.64	$33,113.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $3,548.13	Professional		$1,230.27	$1,698.24	$3,548.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,778.28 / $4,897.79	Facility		$1,047.13	$1,778.28	$4,897.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,778.28 / $5,248.07	Professional		$1,047.13	$1,778.28	$5,248.07