Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,317.53 / $2,317.53 / $2,671.41	Facility		$2,317.53	$2,317.53	$2,671.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,831.50 / $2,671.41 / $3,042.38	Professional		$1,831.50	$2,671.41	$3,042.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,751.98 / $1,751.98 / $4,852.97	Professional		$1,751.98	$1,751.98	$4,852.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $367.33 / $367.33 / $4,775.29	Facility		$367.33	$367.33	$4,775.29
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $367.33 / $367.33 / $4,775.29	Professional		$367.33	$367.33	$4,775.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.51 / $1,472.88 / $2,910.00	Professional		$192.51	$1,472.88	$2,910.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,140.90 / $1,426.12 / $1,426.12	Professional		$1,140.90	$1,426.12	$1,426.12
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,426.12 / $1,426.12 / $1,426.12	Facility		$1,426.12	$1,426.12	$1,426.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,426.12 / $4,267.52 / $4,534.24	Professional		$1,426.12	$4,267.52	$4,534.24
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 $192.51 / $1,472.88 / $3,637.50	Professional		$192.51	$1,472.88	$3,637.50
United Facility/Professional Professional Modifier Low / Median / High Price $104.70 / $292.94 / $2,334.26	Professional		$104.70	$292.94	$2,334.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,267.52 / $4,267.52 / $4,267.52	Facility		$4,267.52	$4,267.52	$4,267.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,426.12 / $4,267.52 / $4,534.24	Professional		$1,426.12	$4,267.52	$4,534.24