Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $4,677.35	Facility		$1,479.11	$1,862.09	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $3,890.45	Professional		$1,122.02	$1,513.56	$3,890.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,737.80 / $3,981.07	Professional		$1,412.54	$1,737.80	$3,981.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,344.23 / $50,118.72	Facility		$34.67	$2,344.23	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,511.89 / $5,888.44	Professional		$1,288.25	$2,511.89	$5,888.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,691.53 / $5,011.87	Facility		$1,513.56	$2,691.53	$5,011.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,995.26 / $2,691.53	Professional		$1,288.25	$1,995.26	$2,691.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $3,548.13	Professional		$1,122.02	$1,698.24	$3,548.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $50,118.72 / $75,857.76	Facility		$2,511.89	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,819.70 / $2,818.38	Professional		$398.11	$1,819.70	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $4,168.69 / $9,120.11	Facility		$1,479.11	$4,168.69	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,819.70 / $3,715.35	Professional		$1,230.27	$1,819.70	$3,715.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $4,073.80	Facility		$1,122.02	$1,479.11	$4,073.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,659.59 / $4,466.84	Professional		$1,122.02	$1,659.59	$4,466.84