Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,995.26 / $2,818.38	Facility		$831.76	$1,995.26	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $2,187.76	Professional		$954.99	$1,258.93	$2,187.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $5,011.87	Facility		$2,511.89	$2,511.89	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $4,265.80	Professional		$1,318.26	$1,318.26	$4,265.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,041.74 / $2,041.74	Facility		$1,905.46	$2,041.74	$2,041.74
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,981.07 / $50,118.72	Facility		$1,621.81	$3,981.07	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $2,818.38	Professional		$1,174.90	$1,174.90	$2,818.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,168.69 / $9,549.93	Facility		$2,511.89	$4,168.69	$9,549.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,630.27 / $4,786.30	Professional		$1,548.82	$2,630.27	$4,786.30
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,862.09	Facility		$1,778.28	$1,778.28	$1,862.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,548.82 / $1,778.28	Professional		$1,479.11	$1,548.82	$1,778.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $50,118.72 / $75,857.76	Facility		$3,801.89	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,398.83 / $2,398.83	Professional		$1,621.81	$2,398.83	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,570.40 / $3,019.95	Facility		$912.01	$2,570.40	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,230.27 / $2,089.30	Professional		$812.83	$1,230.27	$2,089.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,479.11 / $1,862.09	Facility		$1,412.54	$1,479.11	$1,862.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,548.82 / $1,778.28	Professional		$1,479.11	$1,548.82	$1,778.28