Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,949.84 / $2,818.38	Facility		$891.25	$1,949.84	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $1,995.26	Professional		$977.24	$1,318.26	$1,995.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $5,011.87	Facility		$2,511.89	$2,511.89	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $4,265.80	Professional		$1,380.38	$1,380.38	$4,265.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,041.74 / $2,041.74	Facility		$1,905.46	$2,041.74	$2,041.74
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $4,168.69 / $50,118.72	Facility		$1,659.59	$4,168.69	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,454.71	Professional		$1,202.26	$1,202.26	$2,454.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,073.80 / $9,549.93	Facility		$2,511.89	$4,073.80	$9,549.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,754.23 / $4,786.30	Professional		$1,548.82	$2,754.23	$4,786.30
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,737.80	Facility		$1,659.59	$1,659.59	$1,737.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,548.82 / $1,659.59	Professional		$1,479.11	$1,548.82	$1,659.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $50,118.72 / $75,857.76	Facility		$3,548.13	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,398.83 / $2,398.83	Professional		$1,621.81	$2,398.83	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,819.70 / $3,090.30	Facility		$933.25	$1,819.70	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,318.26 / $2,041.74	Professional		$812.83	$1,318.26	$2,041.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,513.56 / $1,737.80	Facility		$1,479.11	$1,513.56	$1,737.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,548.82 / $1,659.59	Professional		$1,479.11	$1,548.82	$1,659.59