Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,230.27 / $1,995.26	Facility		$977.24	$1,230.27	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $954.99 / $1,995.26	Professional		$812.83	$954.99	$1,995.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $1,819.70	Professional		$741.31	$870.96	$1,819.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $1,096.48	Facility		$173.78	$173.78	$1,096.48
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $1,096.48 / $1,288.25	Professional		$173.78	$1,096.48	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $50,118.72	Facility		$1,318.26	$1,318.26	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,548.82 / $3,630.78	Professional		$870.96	$1,548.82	$3,630.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,096.48 / $2,951.21	Facility		$707.95	$1,096.48	$2,951.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $1,995.26	Professional		$1,174.90	$1,548.82	$1,995.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $2,238.72	Professional		$741.31	$1,096.48	$2,238.72
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
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $2,344.23	Professional		$1,148.15	$1,348.96	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,137.96 / $2,691.53	Facility		$1,479.11	$2,137.96	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $2,398.83	Professional		$851.14	$1,096.48	$2,398.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $954.99 / $1,096.48	Facility		$645.65	$954.99	$1,096.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,071.52 / $2,238.72	Professional		$724.44	$1,071.52	$2,238.72