Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,479.11 / $2,089.30	Facility		$676.08	$1,479.11	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $1,584.89	Professional		$794.33	$977.24	$1,584.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $3,715.35	Facility		$1,862.09	$1,862.09	$3,715.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $3,162.28	Professional		$1,023.29	$1,023.29	$3,162.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,548.82 / $1,548.82	Facility		$1,412.54	$1,548.82	$1,548.82
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,019.95 / $50,118.72	Facility		$1,318.26	$3,019.95	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,862.09	Professional		$977.24	$977.24	$1,862.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,090.30 / $7,244.36	Facility		$1,862.09	$3,090.30	$7,244.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,949.84 / $3,630.78	Professional		$1,174.90	$1,949.84	$3,630.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,380.38	Facility		$1,288.25	$1,288.25	$1,380.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,230.27 / $1,288.25	Professional		$1,174.90	$1,230.27	$1,288.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $50,118.72 / $75,857.76	Facility		$2,818.38	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $1,778.28	Professional		$1,230.27	$1,778.28	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,949.84 / $2,290.87	Facility		$691.83	$1,949.84	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,071.52 / $1,548.82	Professional		$616.60	$1,071.52	$1,548.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $1,548.82	Facility		$1,096.48	$1,288.25	$1,548.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,230.27 / $1,288.25	Professional		$1,174.90	$1,230.27	$1,288.25