Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,168.69 / $10,232.93	Facility		$1,905.46	$4,168.69	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $1,000.00 / $3,235.94	Professional		$72.44	$1,000.00	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $3,019.95	Professional		$181.97	$223.87	$3,019.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $12,302.69	Facility		$138.04	$138.04	$12,302.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $2,630.27	Professional		$138.04	$138.04	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $53,703.18	Facility		$162.18	$162.18	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $5,888.44 / $24,547.09	Professional		$2,290.87	$5,888.44	$24,547.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $141.25 / $338.84	Facility		$87.10	$141.25	$338.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $8,912.51 / $14,454.40	Professional		$7,413.10	$8,912.51	$14,454.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,311.31 / $6,456.54	Professional		$1,698.24	$3,311.31	$6,456.54
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 $2,089.30 / $2,570.40 / $2,884.03	Professional		$2,089.30	$2,570.40	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,818.38 / $5,495.41	Facility		$1,258.93	$2,818.38	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $1,023.29 / $4,168.69	Professional		$66.07	$1,023.29	$4,168.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $91.20 / $95.50	Facility		$81.28	$91.20	$95.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $2,951.21 / $5,623.41	Professional		$91.20	$2,951.21	$5,623.41