Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,162.28 / $4,466.84	Facility		$1,445.44	$3,162.28	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $3,019.95	Professional		$1,513.56	$1,862.09	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $8,128.31	Facility		$3,981.07	$3,981.07	$8,128.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $6,309.57	Professional		$1,949.84	$1,949.84	$6,309.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,090.30 / $3,311.31	Facility		$1,318.26	$3,090.30	$3,311.31
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $3,090.30 / $3,311.31	Professional		$1,318.26	$3,090.30	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,754.40 / $50,118.72	Facility		$2,884.03	$5,754.40	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $3,981.07	Professional		$2,454.71	$2,454.71	$3,981.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $6,606.93 / $15,488.17	Facility		$3,981.07	$6,606.93	$15,488.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $7,762.47	Professional		$2,511.89	$4,466.84	$7,762.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,511.89 / $2,818.38	Professional		$2,398.83	$2,511.89	$2,818.38
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 $2,630.27 / $3,890.45 / $3,890.45	Professional		$2,630.27	$3,890.45	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,995.26 / $4,365.16	Facility		$524.81	$1,995.26	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,137.96 / $3,311.31	Professional		$1,318.26	$2,137.96	$3,311.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,398.83 / $2,398.83	Facility		$2,089.30	$2,398.83	$2,398.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,398.83 / $2,511.89	Professional		$2,238.72	$2,398.83	$2,511.89