Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $5,011.87 / $12,302.69	Facility		$602.56	$5,011.87	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $794.33 / $1,737.80	Professional		$275.42	$794.33	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $9,772.37 / $18,620.87	Facility		$4,570.88	$9,772.37	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $851.14 / $2,570.40	Professional		$660.69	$851.14	$2,570.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $4,265.80 / $16,595.87	Facility		$446.68	$4,265.80	$16,595.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $1,412.54	Professional		$446.68	$446.68	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $3,235.94 / $50,118.72	Facility		$549.54	$3,235.94	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,096.48 / $3,388.44	Professional		$338.84	$1,096.48	$3,388.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $338.84 / $1,000.00	Facility		$281.84	$338.84	$1,000.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $1,778.28	Professional		$1,000.00	$1,230.27	$1,778.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,122.02 / $2,137.96	Professional		$630.96	$1,122.02	$2,137.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $50,118.72 / $75,857.76	Facility		$3,235.94	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $2,290.87	Professional		$1,174.90	$1,380.38	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,456.54 / $19,054.61	Facility		$2,511.89	$6,456.54	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $691.83 / $2,089.30	Professional		$223.87	$691.83	$2,089.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $338.84 / $1,047.13	Facility		$257.04	$338.84	$1,047.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $933.25 / $1,737.80	Professional		$602.56	$933.25	$1,737.80