Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $5,754.40 / $10,964.78	Facility		$2,238.72	$5,754.40	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $512.86 / $6,309.57	Professional		$436.52	$512.86	$6,309.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,466.84 / $5,754.40	Professional		$3,715.35	$4,466.84	$5,754.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $37,153.52	Facility		$645.65	$645.65	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $851.14 / $7,762.47	Facility		$34.67	$851.14	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $831.76 / $2,137.96	Professional		$416.87	$831.76	$2,137.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $831.76 / $1,819.70	Facility		$407.38	$831.76	$1,819.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $645.65 / $1,621.81	Professional		$489.78	$645.65	$1,621.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,584.89 / $2,454.71	Professional		$933.25	$1,584.89	$2,454.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,073.80 / $9,120.11	Facility		$1,412.54	$4,073.80	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $1,412.54	Professional		$316.23	$478.63	$1,412.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,288.25 / $2,137.96	Facility		$933.25	$1,288.25	$2,137.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,513.56 / $2,884.03	Professional		$933.25	$1,513.56	$2,884.03