Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,951.21 / $4,168.69	Facility		$1,348.96	$2,951.21	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,691.53 / $3,467.37	Professional		$1,380.38	$2,691.53	$3,467.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $7,244.36	Facility		$3,630.78	$3,630.78	$7,244.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $6,025.60	Professional		$1,862.09	$1,862.09	$6,025.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $2,137.96 / $2,290.87	Facility		$338.84	$2,137.96	$2,290.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $2,137.96	Professional		$338.84	$338.84	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $4,073.80 / $7,079.46	Facility		$588.84	$4,073.80	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $17,782.79	Professional		$1,698.24	$1,698.24	$17,782.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,165.95 / $14,454.40	Facility		$3,715.35	$6,165.95	$14,454.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $6,760.83 / $10,715.19	Professional		$3,311.31	$6,760.83	$10,715.19
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,818.38	Facility		$2,041.74	$2,041.74	$2,818.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,137.96 / $3,019.95	Professional		$2,089.30	$2,137.96	$3,019.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $50,118.72 / $75,857.76	Facility		$128.82	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $588.84 / $3,715.35	Facility		$295.12	$588.84	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $3,090.30 / $5,623.41	Professional		$1,230.27	$3,090.30	$5,623.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,137.96 / $2,818.38	Facility		$2,041.74	$2,137.96	$2,818.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $3,019.95	Professional		$1,778.28	$2,089.30	$3,019.95