Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,096.48 / $2,344.23	Facility		$891.25	$1,096.48	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,071.52 / $1,174.90	Professional		$1,047.13	$1,071.52	$1,174.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $467.74	Professional		$0.02	$0.03	$467.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,096.48 / $50,118.72	Facility		$1,071.52	$1,096.48	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $6,025.60	Professional		$1,096.48	$1,096.48	$6,025.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $1,318.26	Professional		$1,122.02	$1,318.26	$1,318.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
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 Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,659.59	Professional		$1,230.27	$1,230.27	$1,659.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48