Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,818.38 / $3,981.07	Facility		$1,258.93	$2,818.38	$3,981.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $3,090.30	Professional		$1,445.44	$2,041.74	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $7,079.46	Facility		$3,548.13	$3,548.13	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $6,025.60	Professional		$2,089.30	$2,089.30	$6,025.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,884.03 / $2,884.03	Facility		$2,691.53	$2,884.03	$2,884.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $6,025.60 / $50,118.72	Facility		$2,754.23	$6,025.60	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $3,467.37	Professional		$2,041.74	$2,041.74	$3,467.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $5,888.44 / $13,489.63	Facility		$3,548.13	$5,888.44	$13,489.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,890.45 / $6,760.83	Professional		$2,187.76	$3,890.45	$6,760.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,905.46	Facility		$1,819.70	$1,819.70	$1,905.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,089.30 / $2,187.76	Professional		$1,819.70	$2,089.30	$2,187.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $50,118.72 / $75,857.76	Facility		$3,890.45	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,388.44 / $3,388.44	Professional		$2,290.87	$3,388.44	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,691.53 / $4,570.88	Facility		$1,412.54	$2,691.53	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,862.09 / $2,884.03	Professional		$1,148.15	$1,862.09	$2,884.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,089.30 / $2,187.76	Facility		$1,819.70	$2,089.30	$2,187.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,089.30 / $2,187.76	Professional		$1,819.70	$2,089.30	$2,187.76