Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,801.89 / $5,370.32	Facility		$1,819.70	$3,801.89	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,691.53 / $4,466.84	Professional		$2,041.74	$2,691.53	$4,466.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $9,549.93	Facility		$4,786.30	$4,786.30	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,548.13 / $8,128.31	Professional		$3,467.37	$3,548.13	$8,128.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,981.07 / $3,981.07	Facility		$3,630.78	$3,981.07	$3,981.07
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $8,511.38 / $50,118.72	Facility		$3,311.31	$8,511.38	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $4,786.30	Professional		$2,398.83	$2,398.83	$4,786.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,943.28 / $18,620.87	Facility		$4,786.30	$7,943.28	$18,620.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $5,248.07 / $9,332.54	Professional		$3,090.30	$5,248.07	$9,332.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $6,165.95	Facility		$5,754.40	$5,754.40	$6,165.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,388.44 / $5,754.40	Professional		$3,162.28	$3,388.44	$5,754.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $50,118.72 / $75,857.76	Facility		$12,589.25	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,570.88 / $4,570.88	Professional		$3,162.28	$4,570.88	$4,570.88
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 $1,584.89 / $2,818.38 / $3,981.07	Professional		$1,584.89	$2,818.38	$3,981.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,754.40 / $6,918.31	Facility		$3,162.28	$5,754.40	$6,918.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,388.44 / $5,754.40	Professional		$3,162.28	$3,388.44	$5,754.40