Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $2,398.83	Facility		$1,905.46	$2,398.83	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $2,754.23	Professional		$1,348.96	$1,905.46	$2,754.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $3,890.45	Professional		$1,737.80	$1,737.80	$3,890.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $323.59 / $4,168.69	Facility		$302.00	$323.59	$4,168.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $4,168.69	Professional		$323.59	$323.59	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $2,754.23 / $5,370.32	Facility		$302.00	$2,754.23	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $8,317.64	Professional		$208.93	$302.00	$8,317.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,801.89 / $38,018.94	Professional		$3,090.30	$3,801.89	$38,018.94
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $4,073.80	Facility		$3,801.89	$3,801.89	$4,073.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,715.35 / $3,801.89	Professional		$3,548.13	$3,715.35	$3,801.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $50,118.72 / $75,857.76	Facility		$831.76	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $194.98 / $2,630.27	Facility		$114.82	$194.98	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $354.81 / $2,344.23	Professional		$95.50	$354.81	$2,344.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,801.89 / $4,570.88	Facility		$3,467.37	$3,801.89	$4,570.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,715.35 / $3,801.89	Professional		$3,467.37	$3,715.35	$3,801.89