Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $977.24 / $1,412.54	Facility		$446.68	$977.24	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $660.69 / $1,047.13	Professional		$478.63	$660.69	$1,047.13
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 $707.95 / $707.95 / $2,137.96	Professional		$707.95	$707.95	$2,137.96
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 $707.95 / $2,041.74 / $50,118.72	Facility		$707.95	$2,041.74	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $1,230.27	Professional		$512.86	$512.86	$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 $602.56 / $602.56 / $630.96	Facility		$602.56	$602.56	$630.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $741.31 / $776.25	Professional		$602.56	$741.31	$776.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $50,118.72 / $75,857.76	Facility		$1,288.25	$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 $467.74 / $891.25 / $1,513.56	Facility		$467.74	$891.25	$1,513.56
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 $602.56 / $724.44 / $741.31	Facility		$602.56	$724.44	$741.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $741.31 / $776.25	Professional		$602.56	$741.31	$776.25