Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,981.07 / $5,623.41	Facility		$1,819.70	$3,981.07	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,630.27 / $4,265.80	Professional		$2,137.96	$2,630.27	$4,265.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $10,232.93	Facility		$5,011.87	$5,011.87	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,884.03 / $7,762.47	Professional		$2,754.23	$2,884.03	$7,762.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,168.69 / $4,168.69	Facility		$3,890.45	$4,168.69	$4,168.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $8,128.31 / $50,118.72	Facility		$3,311.31	$8,128.31	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $5,011.87	Professional		$2,398.83	$2,398.83	$5,011.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $19,498.45	Facility		$5,011.87	$8,317.64	$19,498.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $5,370.32 / $9,772.37	Professional		$3,162.28	$5,370.32	$9,772.37
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $4,073.80	Facility		$3,890.45	$3,890.45	$4,073.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,162.28 / $3,890.45	Professional		$3,019.95	$3,162.28	$3,890.45
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 $3,311.31 / $4,897.79 / $4,897.79	Professional		$3,311.31	$4,897.79	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $5,248.07 / $6,165.95	Facility		$1,862.09	$5,248.07	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,691.53 / $4,168.69	Professional		$1,659.59	$2,691.53	$4,168.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,019.95 / $4,073.80	Facility		$2,818.38	$3,019.95	$4,073.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,162.28 / $3,890.45	Professional		$3,019.95	$3,162.28	$3,890.45