Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,380.38 / $1,949.84	Facility		$588.84	$1,380.38	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,698.24	Professional		$707.95	$977.24	$1,698.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $3,548.13	Facility		$1,737.80	$1,737.80	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $2,951.21	Professional		$1,047.13	$1,047.13	$2,951.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,445.44 / $1,445.44	Facility		$1,318.26	$1,445.44	$1,445.44
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,090.30 / $50,118.72	Facility		$1,202.26	$3,090.30	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,905.46	Professional		$891.25	$891.25	$1,905.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,884.03 / $6,760.83	Facility		$1,737.80	$2,884.03	$6,760.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,949.84 / $3,388.44	Professional		$1,096.48	$1,949.84	$3,388.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $954.99	Facility		$912.01	$912.01	$954.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,023.29 / $1,096.48	Professional		$912.01	$1,023.29	$1,096.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $50,118.72 / $75,857.76	Facility		$1,949.84	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $1,698.24	Professional		$1,148.15	$1,698.24	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,318.26 / $2,344.23	Facility		$707.95	$1,318.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $912.01 / $1,479.11	Professional		$575.44	$912.01	$1,479.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,023.29 / $1,071.52	Facility		$912.01	$1,023.29	$1,071.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,023.29 / $1,096.48	Professional		$912.01	$1,023.29	$1,096.48