Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,715.35 / $5,888.44	Facility		$1,949.84	$3,715.35	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,513.56 / $1,905.46	Professional		$354.81	$1,513.56	$1,905.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $1,949.84	Professional		$239.88	$239.88	$1,949.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $3,235.94	Professional		$1,949.84	$1,949.84	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,168.69 / $5,011.87	Facility		$1,258.93	$4,168.69	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,818.38 / $9,332.54	Professional		$1,949.84	$2,818.38	$9,332.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,235.94 / $7,413.10	Facility		$1,949.84	$3,235.94	$7,413.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $3,801.89	Professional		$2,041.74	$2,630.27	$3,801.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,905.46 / $3,467.37	Professional		$1,659.59	$1,905.46	$3,467.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,715.35 / $50,118.72	Facility		$2,511.89	$3,715.35	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,995.26	Professional		$1,949.84	$1,949.84	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,949.84 / $2,344.23	Facility		$1,737.80	$1,949.84	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $2,570.40	Professional		$812.83	$1,174.90	$2,570.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,041.74 / $2,238.72	Facility		$1,230.27	$2,041.74	$2,238.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $3,890.45	Professional		$1,659.59	$1,949.84	$3,890.45