Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,862.09 / $2,630.27	Facility		$776.25	$1,862.09	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,995.26	Professional		$954.99	$1,258.93	$1,995.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $4,677.35	Facility		$2,344.23	$2,344.23	$4,677.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $3,981.07	Professional		$1,348.96	$1,348.96	$3,981.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,905.46 / $1,905.46	Facility		$1,778.28	$1,905.46	$1,905.46
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,168.69 / $50,118.72	Facility		$1,513.56	$4,168.69	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $2,511.89	Professional		$1,096.48	$1,096.48	$2,511.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,890.45 / $8,912.51	Facility		$2,344.23	$3,890.45	$8,912.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,570.40 / $4,466.84	Professional		$1,445.44	$2,570.40	$4,466.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,445.44	Facility		$1,380.38	$1,380.38	$1,445.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,445.44	Professional		$1,380.38	$1,380.38	$1,445.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $50,118.72 / $75,857.76	Facility		$3,019.95	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,238.72 / $2,238.72	Professional		$1,513.56	$2,238.72	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,621.81 / $3,090.30	Facility		$933.25	$1,621.81	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,202.26 / $1,949.84	Professional		$758.58	$1,202.26	$1,949.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,445.44	Facility		$1,380.38	$1,380.38	$1,445.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,445.44	Professional		$1,380.38	$1,380.38	$1,445.44