Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,548.13 / $5,011.87	Facility		$1,621.81	$3,548.13	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $3,235.94	Professional		$1,412.54	$1,949.84	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $9,120.11	Facility		$4,466.84	$4,466.84	$9,120.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $7,079.46	Professional		$2,041.74	$2,041.74	$7,079.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,715.35 / $3,715.35	Facility		$3,388.44	$3,715.35	$3,715.35
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $6,025.60 / $50,118.72	Facility		$2,630.27	$6,025.60	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $4,466.84	Professional		$1,905.46	$1,905.46	$4,466.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $7,413.10 / $17,378.01	Facility		$4,466.84	$7,413.10	$17,378.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $5,011.87 / $8,709.64	Professional		$2,818.38	$5,011.87	$8,709.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,818.38 / $3,162.28	Professional		$2,630.27	$2,818.38	$3,162.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,365.16 / $4,365.16	Professional		$2,951.21	$4,365.16	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,630.27 / $4,466.84	Facility		$1,380.38	$2,630.27	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,290.87 / $3,715.35	Professional		$1,479.11	$2,290.87	$3,715.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,630.27 / $2,754.23	Facility		$2,511.89	$2,630.27	$2,754.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,818.38	Professional		$2,630.27	$2,630.27	$2,818.38