Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,090.30 / $4,897.79	Facility		$1,621.81	$3,090.30	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,318.26 / $2,691.53	Professional		$891.25	$1,318.26	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $4,265.80	Facility		$1,621.81	$1,621.81	$4,265.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $2,454.71	Professional		$645.65	$645.65	$2,454.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,621.81 / $1,621.81	Facility		$977.24	$1,621.81	$1,621.81
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $1,621.81	Professional		$1,174.90	$1,621.81	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,467.37 / $4,677.35	Facility		$1,096.48	$3,467.37	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,995.26 / $7,762.47	Professional		$977.24	$1,995.26	$7,762.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,691.53 / $6,309.57	Facility		$1,621.81	$2,691.53	$6,309.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $2,884.03	Professional		$812.83	$1,148.15	$2,884.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $2,884.03	Professional		$1,096.48	$1,548.82	$2,884.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,090.30 / $50,118.72	Facility		$2,089.30	$3,090.30	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,659.59	Professional		$1,621.81	$1,621.81	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,479.11 / $1,949.84	Facility		$891.25	$1,479.11	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $2,041.74	Professional		$676.08	$977.24	$2,041.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $1,737.80	Facility		$1,380.38	$1,737.80	$1,737.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $3,235.94	Professional		$1,096.48	$1,548.82	$3,235.94