Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,479.11 / $2,137.96	Facility		$676.08	$1,479.11	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,479.11	Professional		$645.65	$870.96	$1,479.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $3,801.89	Facility		$1,905.46	$1,905.46	$3,801.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $2,951.21	Professional		$870.96	$870.96	$2,951.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,548.82 / $1,548.82	Facility		$1,445.44	$1,548.82	$1,548.82
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,570.40 / $50,118.72	Facility		$912.01	$2,570.40	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,862.09	Professional		$660.69	$660.69	$1,862.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,090.30 / $7,244.36	Facility		$1,905.46	$3,090.30	$7,244.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,995.26 / $3,630.78	Professional		$1,174.90	$1,995.26	$3,630.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $933.25	Facility		$870.96	$870.96	$933.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $1,174.90	Professional		$870.96	$1,122.02	$1,174.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $50,118.72 / $75,857.76	Facility		$1,905.46	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,819.70 / $1,819.70	Professional		$1,230.27	$1,819.70	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,148.15 / $1,995.26	Facility		$602.56	$1,148.15	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $977.24 / $1,548.82	Professional		$616.60	$977.24	$1,548.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,122.02	Facility		$870.96	$1,071.52	$1,122.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $1,174.90	Professional		$870.96	$1,122.02	$1,174.90