Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,380.38 / $4,466.84	Facility		$758.58	$1,380.38	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $1,288.25	Professional		$562.34	$724.44	$1,288.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $3,548.13	Facility		$1,778.28	$1,778.28	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $2,951.21	Professional		$1,096.48	$1,096.48	$2,951.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,445.44 / $1,445.44	Facility		$1,348.96	$1,445.44	$1,445.44
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,041.74 / $50,118.72	Facility		$812.83	$2,041.74	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $1,698.24	Professional		$691.83	$691.83	$1,698.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,884.03 / $6,760.83	Facility		$1,778.28	$2,884.03	$6,760.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,949.84 / $3,388.44	Professional		$1,096.48	$1,949.84	$3,388.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,096.48 / $1,230.27	Professional		$1,047.13	$1,096.48	$1,230.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $1,698.24	Professional		$1,148.15	$1,698.24	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,513.56 / $1,778.28	Facility		$537.03	$1,513.56	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $891.25 / $1,445.44	Professional		$575.44	$891.25	$1,445.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,047.13 / $1,047.13	Facility		$933.25	$1,047.13	$1,047.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,047.13 / $1,096.48	Professional		$977.24	$1,047.13	$1,096.48