Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,570.40 / $7,413.10	Facility		$1,174.90	$2,570.40	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $2,290.87	Professional		$870.96	$1,071.52	$2,290.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $2,041.74	Professional		$758.58	$933.25	$2,041.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $1,174.90	Facility		$194.98	$194.98	$1,174.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $1,174.90 / $1,380.38	Professional		$194.98	$1,174.90	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $870.96 / $1,584.89	Facility		$660.69	$870.96	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,737.80 / $3,890.45	Professional		$891.25	$1,737.80	$3,890.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,230.27 / $5,370.32	Facility		$549.54	$1,230.27	$5,370.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,187.76	Professional		$1,148.15	$1,621.81	$2,187.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,258.93 / $2,187.76	Professional		$812.83	$1,258.93	$2,187.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $50,118.72 / $75,857.76	Facility		$1,548.82	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $2,691.53	Professional		$1,122.02	$1,348.96	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,995.26 / $2,454.71	Facility		$1,737.80	$1,995.26	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $2,691.53	Professional		$831.76	$1,148.15	$2,691.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,202.26 / $1,905.46	Facility		$691.83	$1,202.26	$1,905.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,258.93 / $2,511.89	Professional		$812.83	$1,258.93	$2,511.89