Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,951.21 / $4,168.69	Facility		$1,348.96	$2,951.21	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $3,162.28	Professional		$1,584.89	$1,905.46	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $7,413.10	Facility		$3,715.35	$3,715.35	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,290.87 / $5,888.44	Professional		$2,238.72	$2,290.87	$5,888.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,019.95 / $3,019.95	Facility		$2,818.38	$3,019.95	$3,019.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,025.60 / $50,118.72	Facility		$2,290.87	$6,025.60	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $3,630.78	Professional		$1,659.59	$1,659.59	$3,630.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,165.95 / $14,454.40	Facility		$3,715.35	$6,165.95	$14,454.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,890.45 / $7,244.36	Professional		$2,238.72	$3,890.45	$7,244.36
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,344.23	Facility		$2,238.72	$2,238.72	$2,344.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,238.72 / $2,344.23	Professional		$2,187.76	$2,238.72	$2,344.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $50,118.72 / $75,857.76	Facility		$4,786.30	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,548.13 / $3,548.13	Professional		$2,454.71	$3,548.13	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,890.45 / $4,570.88	Facility		$1,380.38	$3,890.45	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,949.84 / $3,090.30	Professional		$1,202.26	$1,949.84	$3,090.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,238.72 / $2,454.71	Facility		$2,187.76	$2,238.72	$2,454.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,238.72 / $2,344.23	Professional		$2,187.76	$2,238.72	$2,344.23