Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,344.23 / $3,630.78	Facility		$1,096.48	$2,344.23	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,000.00 / $1,230.27	Professional		$676.08	$1,000.00	$1,230.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $1,318.26	Professional		$338.84	$338.84	$1,318.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,122.02	Professional		$812.83	$1,122.02	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,398.83 / $2,884.03	Facility		$851.14	$2,398.83	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $6,309.57	Professional		$1,318.26	$1,905.46	$6,309.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,137.96 / $5,011.87	Facility		$1,318.26	$2,137.96	$5,011.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $2,511.89	Professional		$1,380.38	$1,778.28	$2,511.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $2,344.23	Professional		$1,096.48	$1,288.25	$2,344.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $50,118.72	Facility		$1,698.24	$2,454.71	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,318.26 / $1,548.82	Facility		$1,174.90	$1,318.26	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $1,548.82	Professional		$467.74	$676.08	$1,548.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,318.26 / $1,513.56	Facility		$776.25	$1,318.26	$1,513.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $2,570.40	Professional		$1,096.48	$1,318.26	$2,570.40