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 / $2,089.30	Facility		$676.08	$1,479.11	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,737.80	Professional		$794.33	$1,071.52	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $3,715.35	Facility		$1,862.09	$1,862.09	$3,715.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $3,162.28	Professional		$1,122.02	$1,122.02	$3,162.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,513.56 / $1,513.56	Facility		$1,412.54	$1,513.56	$1,513.56
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,311.31 / $50,118.72	Facility		$1,584.89	$3,311.31	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,819.70	Professional		$1,148.15	$1,148.15	$1,819.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,090.30 / $7,079.46	Facility		$1,862.09	$3,090.30	$7,079.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,949.84 / $3,548.13	Professional		$1,148.15	$1,949.84	$3,548.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $954.99	Facility		$912.01	$912.01	$954.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,096.48 / $1,174.90	Professional		$912.01	$1,096.48	$1,174.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $50,118.72 / $75,857.76	Facility		$1,949.84	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $1,778.28	Professional		$1,202.26	$1,778.28	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,445.44 / $2,454.71	Facility		$758.58	$1,445.44	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $977.24 / $1,548.82	Professional		$602.56	$977.24	$1,548.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,096.48 / $1,096.48	Facility		$912.01	$1,096.48	$1,096.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,096.48 / $1,174.90	Professional		$912.01	$1,096.48	$1,174.90