Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,548.13 / $5,754.40	Facility		$1,621.81	$3,548.13	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $1,995.26	Professional		$1,148.15	$1,513.56	$1,995.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $3,715.35	Professional		$1,548.82	$1,548.82	$3,715.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $1,905.46	Professional		$1,380.38	$1,905.46	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $4,073.80 / $4,897.79	Facility		$1,230.27	$4,073.80	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $9,120.11 / $9,120.11	Professional		$1,905.46	$9,120.11	$9,120.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,162.28 / $7,244.36	Facility		$1,905.46	$3,162.28	$7,244.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $3,715.35	Professional		$1,995.26	$2,570.40	$3,715.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $3,388.44	Professional		$1,584.89	$1,862.09	$3,388.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,548.13 / $50,118.72	Facility		$2,454.71	$3,548.13	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,949.84	Professional		$1,905.46	$1,905.46	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,905.46 / $2,290.87	Facility		$1,698.24	$1,905.46	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $2,511.89	Professional		$794.33	$1,148.15	$2,511.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,905.46 / $2,187.76	Facility		$1,148.15	$1,905.46	$2,187.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $3,715.35	Professional		$1,584.89	$1,905.46	$3,715.35