Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,148.15 / $1,621.81	Facility		$489.78	$1,148.15	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $707.95 / $1,174.90	Professional		$562.34	$707.95	$1,174.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $2,884.03	Facility		$1,445.44	$1,445.44	$2,884.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $812.83 / $2,238.72	Professional		$794.33	$812.83	$2,238.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,202.26 / $1,202.26	Facility		$1,096.48	$1,202.26	$1,202.26
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,398.83 / $50,118.72	Facility		$831.76	$2,398.83	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $1,445.44	Professional		$602.56	$602.56	$1,445.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,398.83 / $5,623.41	Facility		$1,445.44	$2,398.83	$5,623.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,621.81 / $2,818.38	Professional		$912.01	$1,621.81	$2,818.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $812.83	Facility		$776.25	$776.25	$812.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $851.14 / $912.01	Professional		$776.25	$851.14	$912.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $50,118.72 / $75,857.76	Facility		$1,698.24	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $1,380.38	Professional		$954.99	$1,380.38	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,348.96 / $1,778.28	Facility		$537.03	$1,348.96	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $1,230.27	Professional		$478.63	$724.44	$1,230.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $851.14 / $891.25	Facility		$776.25	$851.14	$891.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $851.14 / $912.01	Professional		$776.25	$851.14	$912.01