Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,862.09 / $3,162.28	Facility		$1,047.13	$1,862.09	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $851.14 / $1,584.89	Professional		$562.34	$851.14	$1,584.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $2,754.23	Facility		$1,047.13	$1,047.13	$2,754.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $1,698.24	Professional		$416.87	$416.87	$1,698.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,047.13 / $1,047.13	Facility		$630.96	$1,047.13	$1,047.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,047.13	Professional		$758.58	$1,047.13	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,238.72 / $3,801.89	Facility		$707.95	$2,238.72	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,318.26 / $5,011.87	Professional		$630.96	$1,318.26	$5,011.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,047.13 / $2,344.23	Facility		$489.78	$1,047.13	$2,344.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $741.31 / $1,862.09	Professional		$524.81	$741.31	$1,862.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,862.09	Professional		$707.95	$1,000.00	$1,862.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $50,118.72	Facility		$1,380.38	$1,995.26	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,071.52	Professional		$1,047.13	$1,047.13	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $954.99 / $1,258.93	Facility		$524.81	$954.99	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $630.96 / $1,318.26	Professional		$436.52	$630.96	$1,318.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,122.02 / $1,412.54	Facility		$575.44	$1,122.02	$1,412.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,862.09	Professional		$724.44	$1,047.13	$1,862.09