Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $2,041.74	Facility		$1,584.89	$2,041.74	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $2,041.74	Professional		$707.95	$954.99	$2,041.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $57.54 / $102.33	Professional		$46.77	$57.54	$102.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,290.87 / $3,090.30	Facility		$912.01	$2,290.87	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $4,365.16 / $4,365.16	Professional		$912.01	$4,365.16	$4,365.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,047.13 / $3,019.95	Facility		$794.33	$1,047.13	$3,019.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $1,621.81	Professional		$851.14	$1,122.02	$1,621.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,000.00 / $1,621.81	Professional		$630.96	$1,000.00	$1,621.81
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 $1,995.26 / $2,818.38 / $3,630.78	Facility		$1,995.26	$2,818.38	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $851.14 / $1,819.70	Professional		$602.56	$851.14	$1,819.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $831.76 / $1,000.00	Facility		$630.96	$831.76	$1,000.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,000.00 / $1,949.84	Professional		$630.96	$1,000.00	$1,949.84