Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $977.24 / $1,380.38	Facility		$446.68	$977.24	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $660.69 / $977.24	Professional		$478.63	$660.69	$977.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $2,511.89	Facility		$1,258.93	$1,258.93	$2,511.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $2,089.30	Professional		$660.69	$660.69	$2,089.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,023.29 / $1,023.29	Facility		$954.99	$1,023.29	$1,023.29
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,949.84 / $50,118.72	Facility		$954.99	$1,949.84	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $1,230.27	Professional		$691.83	$691.83	$1,230.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,041.74 / $4,786.30	Facility		$1,258.93	$2,041.74	$4,786.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,318.26 / $2,398.83	Professional		$776.25	$1,318.26	$2,398.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $707.95	Facility		$676.08	$676.08	$707.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $741.31 / $776.25	Professional		$676.08	$741.31	$776.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $50,118.72 / $75,857.76	Facility		$1,479.11	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $1,202.26	Professional		$812.83	$1,202.26	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $870.96 / $1,479.11	Facility		$446.68	$870.96	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $660.69 / $1,023.29	Professional		$407.38	$660.69	$1,023.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $741.31 / $758.58	Facility		$676.08	$741.31	$758.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $741.31 / $776.25	Professional		$676.08	$741.31	$776.25