Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,819.70 / $2,630.27	Facility		$831.76	$1,819.70	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,659.59	Professional		$794.33	$1,047.13	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $4,677.35	Facility		$2,344.23	$2,344.23	$4,677.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,148.15 / $3,548.13	Professional		$1,122.02	$1,148.15	$3,548.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,905.46 / $1,905.46	Facility		$1,778.28	$1,905.46	$1,905.46
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,388.44 / $50,118.72	Facility		$1,412.54	$3,388.44	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $2,290.87	Professional		$1,023.29	$1,023.29	$2,290.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,801.89 / $8,912.51	Facility		$2,344.23	$3,801.89	$8,912.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,454.71 / $4,466.84	Professional		$1,445.44	$2,454.71	$4,466.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,819.70	Facility		$1,737.80	$1,737.80	$1,819.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,445.44 / $1,737.80	Professional		$1,380.38	$1,445.44	$1,737.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $50,118.72 / $75,857.76	Facility		$3,715.35	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,238.72 / $2,238.72	Professional		$1,513.56	$2,238.72	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,445.44 / $2,511.89	Facility		$758.58	$1,445.44	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,202.26 / $1,905.46	Professional		$758.58	$1,202.26	$1,905.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,412.54 / $1,819.70	Facility		$1,380.38	$1,412.54	$1,819.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,445.44 / $1,737.80	Professional		$1,380.38	$1,445.44	$1,737.80