Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,162.28 / $4,466.84	Facility		$1,412.54	$3,162.28	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,818.38	Professional		$1,258.93	$1,698.24	$2,818.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $7,943.28	Facility		$3,981.07	$3,981.07	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $6,165.95	Professional		$1,778.28	$1,778.28	$6,165.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,235.94 / $3,235.94	Facility		$3,019.95	$3,235.94	$3,235.94
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $5,370.32 / $50,118.72	Facility		$1,819.70	$5,370.32	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $3,890.45	Professional		$1,318.26	$1,318.26	$3,890.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $6,606.93 / $15,135.61	Facility		$3,981.07	$6,606.93	$15,135.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $4,168.69 / $7,585.78	Professional		$2,454.71	$4,168.69	$7,585.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,818.38	Facility		$2,630.27	$2,630.27	$2,818.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,454.71 / $2,630.27	Professional		$2,344.23	$2,454.71	$2,630.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $50,118.72 / $75,857.76	Facility		$5,754.40	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,801.89 / $3,801.89	Professional		$2,570.40	$3,801.89	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,290.87 / $3,981.07	Facility		$1,202.26	$2,290.87	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,041.74 / $3,235.94	Professional		$1,288.25	$2,041.74	$3,235.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,398.83 / $2,818.38	Facility		$2,344.23	$2,398.83	$2,818.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,454.71 / $2,630.27	Professional		$2,344.23	$2,454.71	$2,630.27