Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,342.54 / $1,882.76 / $2,948.92	Facility		$1,342.54	$1,882.76	$2,948.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,342.54 / $2,333.46 / $2,436.21	Professional		$1,342.54	$2,333.46	$2,436.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,660.81 / $3,660.81 / $7,321.62	Facility		$3,660.81	$3,660.81	$7,321.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,868.90 / $1,868.90 / $5,232.92	Professional		$1,868.90	$1,868.90	$5,232.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $341.19 / $2,155.19 / $2,287.48	Facility		$341.19	$2,155.19	$2,287.48
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $341.19 / $341.19 / $2,155.19	Professional		$341.19	$341.19	$2,155.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,700.00 / $1,700.00 / $1,700.00	Professional		$1,700.00	$1,700.00	$1,700.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,759.05 / $8,236.82	Facility		$319.00	$4,759.05	$8,236.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,660.81 / $6,589.46 / $10,177.04	Professional		$3,660.81	$6,589.46	$10,177.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,060.32 / $2,096.08 / $2,815.42	Facility		$2,060.32	$2,096.08	$2,815.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,096.08 / $2,249.36 / $2,991.38	Professional		$2,096.08	$2,249.36	$2,991.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,700.00 / $2,262.56 / $6,270.43	Professional		$1,700.00	$2,262.56	$6,270.43
United Facility/Professional Professional Modifier Low / Median / High Price $1,217.56 / $3,196.10 / $4,718.05	Professional		$1,217.56	$3,196.10	$4,718.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,117.04 / $2,117.04 / $2,815.42	Facility		$2,117.04	$2,117.04	$2,815.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $302.41 / $2,096.08 / $2,991.38	Professional		$302.41	$2,096.08	$2,991.38