Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $3,090.30 / $7,762.47	Facility		$288.40	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $1,445.44 / $3,467.37	Professional		$190.55	$1,445.44	$3,467.37
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 $1,819.70 / $2,290.87 / $5,495.41	Professional		$1,819.70	$2,290.87	$5,495.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,905.46 / $37,153.52	Facility		$281.84	$1,905.46	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $2,951.21	Professional		$281.84	$281.84	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $338.84 / $50,118.72	Facility		$34.67	$338.84	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $891.25 / $4,897.79	Professional		$169.82	$891.25	$4,897.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $251.19 / $676.08	Facility		$186.21	$251.19	$676.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,754.23 / $3,715.35	Professional		$1,949.84	$2,754.23	$3,715.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $3,388.44	Professional		$1,445.44	$2,089.30	$3,388.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $50,118.72 / $75,857.76	Facility		$213.80	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $3,019.95	Professional		$2,137.96	$2,691.53	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,754.23 / $4,897.79	Facility		$1,318.26	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $1,479.11 / $4,073.80	Professional		$194.98	$1,479.11	$4,073.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $251.19 / $309.03	Facility		$158.49	$251.19	$309.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $1,778.28 / $3,162.28	Professional		$302.00	$1,778.28	$3,162.28