Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,174.90 / $1,659.59	Facility		$501.19	$1,174.90	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $1,023.29	Professional		$512.86	$645.65	$1,023.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $3,019.95	Facility		$1,479.11	$1,479.11	$3,019.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $2,344.23	Professional		$707.95	$707.95	$2,344.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,230.27 / $1,230.27	Facility		$1,148.15	$1,230.27	$1,230.27
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,089.30 / $50,118.72	Facility		$707.95	$2,089.30	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $1,479.11	Professional		$524.81	$524.81	$1,479.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,454.71 / $5,754.40	Facility		$1,479.11	$2,454.71	$5,754.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,584.89 / $2,884.03	Professional		$933.25	$1,584.89	$2,884.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $741.31	Facility		$707.95	$707.95	$741.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $870.96 / $933.25	Professional		$707.95	$870.96	$933.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $50,118.72 / $75,857.76	Facility		$1,513.56	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,445.44 / $1,445.44	Professional		$977.24	$1,445.44	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $912.01 / $1,548.82	Facility		$467.74	$912.01	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $1,230.27	Professional		$489.78	$724.44	$1,230.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $851.14 / $870.96	Facility		$707.95	$851.14	$870.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $870.96 / $933.25	Professional		$707.95	$870.96	$933.25