Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,630.27 / $3,715.35	Facility		$1,202.26	$2,630.27	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $2,511.89	Professional		$1,230.27	$1,548.82	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $6,606.93	Facility		$3,311.31	$3,311.31	$6,606.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $5,248.07	Professional		$1,621.81	$1,621.81	$5,248.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,570.40 / $2,754.23	Facility		$1,096.48	$2,570.40	$2,754.23
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,570.40 / $2,754.23	Professional		$1,096.48	$2,570.40	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,786.30 / $50,118.72	Facility		$2,398.83	$4,786.30	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $3,311.31	Professional		$1,995.26	$1,995.26	$3,311.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $5,495.41 / $12,882.50	Facility		$3,311.31	$5,495.41	$12,882.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,715.35 / $6,456.54	Professional		$2,089.30	$3,715.35	$6,456.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,089.30 / $2,344.23	Professional		$1,949.84	$2,089.30	$2,344.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,162.28 / $3,162.28	Professional		$2,187.76	$3,162.28	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,659.59 / $3,630.78	Facility		$436.52	$1,659.59	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,778.28 / $2,754.23	Professional		$1,096.48	$1,778.28	$2,754.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,949.84 / $1,949.84	Facility		$1,737.80	$1,949.84	$1,949.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,949.84 / $2,089.30	Professional		$1,862.09	$1,949.84	$2,089.30