Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,174.90 / $1,659.59	Facility		$489.78	$1,174.90	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $1,318.26	Professional		$575.44	$758.58	$1,318.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $2,951.21	Facility		$1,479.11	$1,479.11	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $2,511.89	Professional		$831.76	$831.76	$2,511.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,202.26 / $1,202.26	Facility		$1,122.02	$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 / $2,344.23 / $50,118.72	Facility		$831.76	$2,344.23	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $1,737.80	Professional		$602.56	$602.56	$1,737.80
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 $912.01 / $1,548.82 / $2,884.03	Professional		$912.01	$1,548.82	$2,884.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,148.15	Facility		$1,096.48	$1,096.48	$1,148.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $933.25 / $1,096.48	Professional		$870.96	$933.25	$1,096.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $50,118.72 / $75,857.76	Facility		$2,344.23	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $1,412.54	Professional		$977.24	$1,412.54	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,548.82 / $1,819.70	Facility		$549.54	$1,548.82	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $741.31 / $1,258.93	Professional		$478.63	$741.31	$1,258.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $870.96 / $1,148.15	Facility		$831.76	$870.96	$1,148.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $933.25 / $1,096.48	Professional		$870.96	$933.25	$1,096.48