Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,698.24 / $2,398.83	Facility		$724.44	$1,698.24	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $1,905.46	Professional		$851.14	$1,122.02	$1,905.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $4,365.16	Facility		$2,187.76	$2,187.76	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $3,630.78	Professional		$1,174.90	$1,174.90	$3,630.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,778.28 / $1,778.28	Facility		$1,659.59	$1,778.28	$1,778.28
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,467.37 / $50,118.72	Facility		$1,202.26	$3,467.37	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $2,511.89	Professional		$891.25	$891.25	$2,511.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,548.13 / $8,317.64	Facility		$2,187.76	$3,548.13	$8,317.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,290.87 / $4,168.69	Professional		$1,348.96	$2,290.87	$4,168.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,621.81	Facility		$1,548.82	$1,548.82	$1,621.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,348.96 / $1,548.82	Professional		$1,288.25	$1,348.96	$1,548.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $50,118.72 / $75,857.76	Facility		$3,311.31	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $2,089.30	Professional		$1,412.54	$2,089.30	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,238.72 / $2,630.27	Facility		$794.33	$2,238.72	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,071.52 / $1,819.70	Professional		$707.95	$1,071.52	$1,819.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,288.25 / $1,621.81	Facility		$1,202.26	$1,288.25	$1,621.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,348.96 / $1,548.82	Professional		$1,288.25	$1,348.96	$1,548.82