Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,995.26 / $2,884.03	Facility		$851.14	$1,995.26	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,737.80	Professional		$851.14	$1,096.48	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $5,128.61	Facility		$2,570.40	$2,570.40	$5,128.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $3,981.07	Professional		$1,122.02	$1,122.02	$3,981.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,089.30 / $2,089.30	Facility		$1,949.84	$2,089.30	$2,089.30
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,548.13 / $50,118.72	Facility		$1,412.54	$3,548.13	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $2,511.89	Professional		$1,023.29	$1,023.29	$2,511.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,168.69 / $9,772.37	Facility		$2,570.40	$4,168.69	$9,772.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,691.53 / $4,897.79	Professional		$1,584.89	$2,691.53	$4,897.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,479.11	Facility		$1,412.54	$1,412.54	$1,479.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,513.56 / $1,584.89	Professional		$1,412.54	$1,513.56	$1,584.89
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 $1,659.59 / $2,454.71 / $2,454.71	Professional		$1,659.59	$2,454.71	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,258.93 / $2,630.27	Facility		$794.33	$1,258.93	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,258.93 / $2,089.30	Professional		$831.76	$1,258.93	$2,089.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,513.56 / $1,548.82	Facility		$1,412.54	$1,513.56	$1,548.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,513.56 / $1,584.89	Professional		$1,412.54	$1,513.56	$1,584.89