Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $3,090.30 / $8,128.31	Facility		$331.13	$3,090.30	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $331.13 / $676.08	Professional		$229.09	$331.13	$676.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,000.00	Facility		$2,630.27	$4,786.30	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $575.44	Professional		$229.09	$269.15	$575.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,698.24 / $6,165.95	Facility		$338.84	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $489.78	Professional		$338.84	$338.84	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $5,011.87	Facility		$407.38	$407.38	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $426.58 / $1,023.29	Professional		$239.88	$426.58	$1,023.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $281.84 / $630.96	Facility		$89.13	$281.84	$630.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $562.34 / $870.96	Professional		$446.68	$562.34	$870.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $457.09 / $741.31	Professional		$257.04	$457.09	$741.31
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 $398.11 / $436.52 / $912.01	Professional		$398.11	$436.52	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,890.45 / $8,317.64	Facility		$1,698.24	$3,890.45	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $707.95	Professional		$190.55	$302.00	$707.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $295.12 / $588.84	Facility		$199.53	$295.12	$588.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $416.87 / $741.31	Professional		$257.04	$416.87	$741.31