Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,981.07 / $5,623.41	Facility		$1,819.70	$3,981.07	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,344.23 / $3,801.89	Professional		$1,905.46	$2,344.23	$3,801.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $10,232.93	Facility		$5,011.87	$5,011.87	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $7,943.28	Professional		$2,454.71	$2,454.71	$7,943.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,890.45 / $4,168.69	Facility		$1,659.59	$3,890.45	$4,168.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,890.45 / $4,168.69	Professional		$1,659.59	$3,890.45	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $7,244.36 / $50,118.72	Facility		$3,630.78	$7,244.36	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $5,011.87	Professional		$3,090.30	$3,090.30	$5,011.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $19,498.45	Facility		$5,011.87	$8,317.64	$19,498.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $5,623.41 / $9,772.37	Professional		$3,162.28	$5,623.41	$9,772.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,162.28 / $3,548.13	Professional		$3,019.95	$3,162.28	$3,548.13
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 $3,311.31 / $4,897.79 / $4,897.79	Professional		$3,311.31	$4,897.79	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,511.89 / $5,495.41	Facility		$660.69	$2,511.89	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,691.53 / $4,168.69	Professional		$1,659.59	$2,691.53	$4,168.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,019.95 / $3,019.95	Facility		$2,630.27	$3,019.95	$3,019.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,019.95 / $3,162.28	Professional		$2,818.38	$3,019.95	$3,162.28