Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,090.30 / $4,466.84	Facility		$1,412.54	$3,090.30	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $3,388.44	Professional		$1,584.89	$2,137.96	$3,388.44
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 $2,238.72 / $2,238.72 / $6,760.83	Professional		$2,238.72	$2,238.72	$6,760.83
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 $3,162.28 / $6,456.54 / $50,118.72	Facility		$3,162.28	$6,456.54	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $3,890.45	Professional		$2,290.87	$2,290.87	$3,890.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $6,456.54 / $15,135.61	Facility		$3,981.07	$6,456.54	$15,135.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $4,168.69 / $7,585.78	Professional		$2,344.23	$4,168.69	$7,585.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,089.30	Facility		$1,949.84	$1,949.84	$2,089.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,344.23 / $2,454.71	Professional		$1,949.84	$2,344.23	$2,454.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $50,118.72 / $75,857.76	Facility		$4,265.80	$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 $1,513.56 / $2,884.03 / $4,897.79	Facility		$1,513.56	$2,884.03	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,089.30 / $3,235.94	Professional		$1,288.25	$2,089.30	$3,235.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,344.23 / $2,344.23	Facility		$1,949.84	$2,344.23	$2,344.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,344.23 / $2,454.71	Professional		$1,949.84	$2,344.23	$2,454.71