Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,584.89 / $2,290.87	Facility		$724.44	$1,584.89	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,737.80	Professional		$851.14	$1,047.13	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $4,073.80	Facility		$2,041.74	$2,041.74	$4,073.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $3,467.37	Professional		$1,122.02	$1,122.02	$3,467.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,659.59 / $1,659.59	Facility		$1,548.82	$1,659.59	$1,659.59
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,235.94 / $50,118.72	Facility		$1,318.26	$3,235.94	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,995.26	Professional		$954.99	$954.99	$1,995.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,311.31 / $7,762.47	Facility		$2,041.74	$3,311.31	$7,762.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $3,890.45	Professional		$1,258.93	$2,137.96	$3,890.45
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,584.89	Facility		$1,513.56	$1,513.56	$1,584.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,258.93 / $1,513.56	Professional		$1,202.26	$1,258.93	$1,513.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $50,118.72 / $75,857.76	Facility		$3,235.94	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,949.84 / $1,949.84	Professional		$1,318.26	$1,949.84	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,445.44 / $2,454.71	Facility		$741.31	$1,445.44	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,071.52 / $1,659.59	Professional		$660.69	$1,071.52	$1,659.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,230.27 / $1,584.89	Facility		$1,202.26	$1,230.27	$1,584.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,258.93 / $1,513.56	Professional		$1,202.26	$1,258.93	$1,513.56