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 / $4,365.16	Facility		$1,412.54	$3,090.30	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $3,548.13	Professional		$1,659.59	$2,187.76	$3,548.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $7,762.47	Facility		$3,890.45	$3,890.45	$7,762.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $6,606.93	Professional		$2,344.23	$2,344.23	$6,606.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,162.28 / $3,162.28	Facility		$2,951.21	$3,162.28	$3,162.28
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $6,760.83 / $50,118.72	Facility		$3,311.31	$6,760.83	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,801.89	Professional		$2,398.83	$2,398.83	$3,801.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,456.54 / $15,135.61	Facility		$3,890.45	$6,456.54	$15,135.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,073.80 / $7,585.78	Professional		$2,398.83	$4,073.80	$7,585.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,019.95	Facility		$2,884.03	$2,884.03	$3,019.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,454.71 / $2,884.03	Professional		$2,290.87	$2,454.71	$2,884.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $50,118.72 / $75,857.76	Facility		$6,165.95	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,715.35 / $3,715.35	Professional		$2,570.40	$3,715.35	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,019.95 / $5,248.07	Facility		$1,584.89	$3,019.95	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,041.74 / $3,235.94	Professional		$1,258.93	$2,041.74	$3,235.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,398.83 / $3,019.95	Facility		$2,290.87	$2,398.83	$3,019.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,454.71 / $2,884.03	Professional		$2,290.87	$2,454.71	$2,884.03