Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,427.99 / $1,779.23 / $2,414.60	Facility		$1,427.99	$1,779.23	$2,414.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,630.07 / $2,094.44 / $7,001.33	Professional		$1,630.07	$2,094.44	$7,001.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,168.00	Facility		$3,283.00	$5,434.00	$12,168.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,104.18 / $1,443.38 / $3,154.16	Professional		$1,104.18	$1,443.38	$3,154.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,893.60 / $1,893.60 / $37,499.62	Facility		$1,893.60	$1,893.60	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,893.60 / $1,893.60 / $1,893.60	Professional		$1,893.60	$1,893.60	$1,893.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,807.68 / $3,807.68 / $4,184.68	Professional		$3,807.68	$3,807.68	$4,184.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,089.00 / $3,570.86	Facility		$332.00	$2,089.00	$3,570.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,460.16 / $2,072.25 / $3,063.01	Professional		$1,460.16	$2,072.25	$3,063.01
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,253.90 / $1,253.90 / $1,253.90	Facility		$1,253.90	$1,253.90	$1,253.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,087.78 / $1,599.68 / $2,821.87	Professional		$1,087.78	$1,599.68	$2,821.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,460.56 / $2,015.61 / $3,967.66	Professional		$1,460.56	$2,015.61	$3,967.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,195.00 / $1,683.50 / $4,316.54	Professional		$1,195.00	$1,683.50	$4,316.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,599.68 / $1,599.68 / $6,063.93	Facility		$1,599.68	$1,599.68	$6,063.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,137.22 / $1,747.44 / $3,381.46	Professional		$1,137.22	$1,747.44	$3,381.46