Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $4,365.16 / $10,964.78	Facility		$1,230.27	$4,365.16	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $2,238.72	Professional		$741.31	$870.96	$2,238.72
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 / $1,995.26	Professional		$691.83	$891.25	$1,995.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,398.83 / $10,964.78	Facility		$1,258.93	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,290.87 / $50,118.72	Facility		$1,513.56	$2,290.87	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,174.90 / $3,019.95	Professional		$616.60	$1,174.90	$3,019.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $977.24 / $2,290.87	Facility		$562.34	$977.24	$2,290.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,122.02 / $1,905.46	Professional		$977.24	$1,122.02	$1,905.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $1,659.59	Professional		$645.65	$954.99	$1,659.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $50,118.72 / $75,857.76	Facility		$812.83	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,071.52 / $1,380.38	Professional		$398.11	$1,071.52	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,365.16 / $9,549.93	Facility		$2,041.74	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $954.99 / $2,041.74	Professional		$537.03	$954.99	$2,041.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $954.99 / $2,754.23	Facility		$630.96	$954.99	$2,754.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,047.13 / $2,511.89	Professional		$645.65	$1,047.13	$2,511.89