Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,380.38 / $1,949.84	Facility		$575.44	$1,380.38	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $1,698.24	Professional		$660.69	$912.01	$1,698.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $3,467.37	Facility		$1,737.80	$1,737.80	$3,467.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,000.00 / $2,630.27	Professional		$977.24	$1,000.00	$2,630.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,412.54 / $1,412.54	Facility		$1,318.26	$1,412.54	$1,412.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,884.03 / $50,118.72	Facility		$1,023.29	$2,884.03	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,905.46	Professional		$758.58	$758.58	$1,905.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,884.03 / $6,606.93	Facility		$1,737.80	$2,884.03	$6,606.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,819.70 / $3,311.31	Professional		$1,071.52	$1,819.70	$3,311.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,096.48	Facility		$1,047.13	$1,047.13	$1,096.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,047.13 / $1,096.48	Professional		$1,023.29	$1,047.13	$1,096.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $50,118.72 / $75,857.76	Facility		$2,238.72	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,659.59 / $1,659.59	Professional		$1,122.02	$1,659.59	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,862.09 / $2,187.76	Facility		$660.69	$1,862.09	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $891.25 / $1,479.11	Professional		$562.34	$891.25	$1,479.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,023.29 / $1,096.48	Facility		$977.24	$1,023.29	$1,096.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,047.13 / $1,096.48	Professional		$1,023.29	$1,047.13	$1,096.48