Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $1,659.59	Facility		$1,318.26	$1,659.59	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $1,905.46	Professional		$1,122.02	$1,445.44	$1,905.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $3,162.28	Professional		$1,479.11	$1,479.11	$3,162.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $234.42 / $3,090.30	Facility		$218.78	$234.42	$3,090.30
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $3,090.30	Professional		$234.42	$234.42	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $2,137.96 / $3,630.78	Facility		$302.00	$2,137.96	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $1,513.56 / $8,511.38	Professional		$177.83	$1,513.56	$8,511.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,570.40	Professional		$2,398.83	$2,398.83	$2,570.40
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 Facility Modifier Low / Median / High Price $117.49 / $1,000.00 / $1,659.59	Facility		$117.49	$1,000.00	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,412.54 / $2,398.83	Professional		$891.25	$1,412.54	$2,398.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $2,398.83	Facility		$1,737.80	$2,398.83	$2,398.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,398.83 / $2,570.40	Professional		$1,995.26	$2,398.83	$2,570.40