Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,630.78 / $5,888.44	Facility		$1,659.59	$3,630.78	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $2,041.74	Professional		$1,174.90	$1,548.82	$2,041.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $2,041.74	Professional		$33.11	$33.11	$2,041.74
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 $1,412.54 / $1,949.84 / $1,949.84	Professional		$1,412.54	$1,949.84	$1,949.84
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 / $9,332.54 / $9,332.54	Professional		$1,949.84	$9,332.54	$9,332.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,162.28 / $7,413.10	Facility		$1,949.84	$3,162.28	$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 $1,621.81 / $1,905.46 / $3,467.37	Professional		$1,621.81	$1,905.46	$3,467.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,630.78 / $50,118.72	Facility		$2,511.89	$3,630.78	$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 $1,174.90 / $1,949.84 / $2,238.72	Facility		$1,174.90	$1,949.84	$2,238.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $3,801.89	Professional		$1,621.81	$1,949.84	$3,801.89