Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,884.03 / $4,073.80	Facility		$1,318.26	$2,884.03	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $2,691.53	Professional		$1,348.96	$1,659.59	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $7,244.36	Facility		$3,630.78	$3,630.78	$7,244.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,778.28 / $5,495.41	Professional		$1,737.80	$1,778.28	$5,495.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,818.38 / $2,951.21	Facility		$1,174.90	$2,818.38	$2,951.21
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,818.38 / $2,951.21	Professional		$1,174.90	$2,818.38	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $5,128.61 / $50,118.72	Facility		$1,819.70	$5,128.61	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $3,548.13	Professional		$1,548.82	$1,548.82	$3,548.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,025.60 / $13,803.84	Facility		$3,630.78	$6,025.60	$13,803.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,981.07 / $6,918.31	Professional		$2,238.72	$3,981.07	$6,918.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,290.87 / $2,570.40	Professional		$2,137.96	$2,290.87	$2,570.40
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 $2,344.23 / $3,467.37 / $3,467.37	Professional		$2,344.23	$3,467.37	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,819.70 / $3,981.07	Facility		$478.63	$1,819.70	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,905.46 / $2,951.21	Professional		$1,174.90	$1,905.46	$2,951.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,137.96 / $2,137.96	Facility		$1,905.46	$2,137.96	$2,137.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,137.96 / $2,290.87	Professional		$2,041.74	$2,137.96	$2,290.87