Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,801.89 / $9,120.11	Facility		$1,023.29	$3,801.89	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $2,238.72	Professional		$660.69	$831.76	$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 $588.84 / $741.31 / $1,949.84	Professional		$588.84	$741.31	$1,949.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $37,153.52	Facility		$1,023.29	$1,023.29	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,174.90 / $50,118.72	Facility		$34.67	$1,174.90	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,202.26 / $3,235.94	Professional		$549.54	$1,202.26	$3,235.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $758.58 / $1,698.24	Facility		$398.11	$758.58	$1,698.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $1,318.26	Professional		$676.08	$912.01	$1,318.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $870.96 / $1,513.56	Professional		$588.84	$870.96	$1,513.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $50,118.72 / $75,857.76	Facility		$724.44	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $933.25 / $1,513.56	Professional		$398.11	$933.25	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,715.35 / $8,317.64	Facility		$1,584.89	$3,715.35	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $2,137.96	Professional		$562.34	$794.33	$2,137.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $758.58 / $2,238.72	Facility		$575.44	$758.58	$2,238.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $1,905.46	Professional		$575.44	$851.14	$1,905.46