Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $3,019.95 / $7,762.47	Facility		$302.00	$3,019.95	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $1,412.54 / $3,235.94	Professional		$177.83	$1,412.54	$3,235.94
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 $1,548.82 / $1,905.46 / $4,677.35	Professional		$1,548.82	$1,905.46	$4,677.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $4,073.80	Facility		$245.47	$245.47	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $2,754.23	Professional		$245.47	$245.47	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $302.00 / $50,118.72	Facility		$34.67	$302.00	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $1,122.02 / $6,606.93	Professional		$213.80	$1,122.02	$6,606.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $239.88 / $602.56	Facility		$186.21	$239.88	$602.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $3,630.78	Professional		$1,905.46	$2,511.89	$3,630.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,344.23 / $3,801.89	Professional		$1,445.44	$2,344.23	$3,801.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $50,118.72 / $75,857.76	Facility		$239.88	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,630.27 / $4,677.35	Professional		$2,238.72	$2,630.27	$4,677.35
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 $158.49 / $1,230.27 / $3,801.89	Professional		$158.49	$1,230.27	$3,801.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $223.87 / $524.81	Facility		$141.25	$223.87	$524.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,778.28 / $3,548.13	Professional		$446.68	$1,778.28	$3,548.13