Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,162.28 / $8,128.31	Facility		$977.24	$3,162.28	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $1,995.26	Professional		$602.56	$776.25	$1,995.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $1,905.46	Professional		$691.83	$891.25	$1,905.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $8,912.51	Facility		$1,000.00	$1,000.00	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,230.27	Professional		$1,000.00	$1,000.00	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,202.26 / $50,118.72	Facility		$34.67	$1,202.26	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,047.13 / $2,290.87	Professional		$537.03	$1,047.13	$2,290.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $812.83 / $2,344.23	Facility		$562.34	$812.83	$2,344.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $2,137.96	Professional		$1,122.02	$1,318.26	$2,137.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $933.25 / $1,584.89	Professional		$616.60	$933.25	$1,584.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $50,118.72 / $75,857.76	Facility		$691.83	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,023.29 / $1,318.26	Professional		$398.11	$1,023.29	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,981.07 / $8,317.64	Facility		$1,819.70	$3,981.07	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $831.76 / $1,778.28	Professional		$467.74	$831.76	$1,778.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $776.25 / $2,290.87	Facility		$524.81	$776.25	$2,290.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,023.29 / $2,290.87	Professional		$616.60	$1,023.29	$2,290.87