Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,630.27 / $10,471.29	Facility		$741.31	$2,630.27	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,778.28	Professional		$870.96	$1,071.52	$1,778.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $4,168.69	Facility		$2,089.30	$2,089.30	$4,168.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $3,801.89	Professional		$1,698.24	$1,698.24	$3,801.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,698.24 / $1,698.24	Facility		$1,584.89	$1,698.24	$1,698.24
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,311.31 / $50,118.72	Facility		$1,174.90	$3,311.31	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $2,041.74	Professional		$977.24	$977.24	$2,041.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,388.44 / $7,943.28	Facility		$2,089.30	$3,388.44	$7,943.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,290.87 / $3,981.07	Professional		$1,288.25	$2,290.87	$3,981.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,258.93 / $1,445.44	Professional		$1,174.90	$1,258.93	$1,445.44
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 $1,348.96 / $1,995.26 / $1,995.26	Professional		$1,348.96	$1,995.26	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,137.96 / $2,511.89	Facility		$758.58	$2,137.96	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,698.24	Professional		$676.08	$1,047.13	$1,698.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $1,174.90 / $1,174.90	Facility		$26.30	$1,174.90	$1,174.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,258.93	Professional		$1,174.90	$1,174.90	$1,258.93