Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $954.99 / $954.99	Facility		$602.56	$954.99	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $954.99 / $1,548.82	Professional		$537.03	$954.99	$1,548.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $2,511.89	Professional		$1,288.25	$1,288.25	$2,511.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $134.90 / $1,737.80	Facility		$125.89	$134.90	$1,737.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $1,737.80	Professional		$134.90	$134.90	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $56.23 / $83.18	Facility		$10.47	$56.23	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $109.65	Professional		$93.33	$93.33	$109.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38,018.94 / $38,018.94 / $38,018.94	Professional		$38,018.94	$38,018.94	$38,018.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,000.00 / $1,000.00	Professional		$954.99	$1,000.00	$1,000.00
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 $58.88 / $117.49 / $1,122.02	Facility		$58.88	$117.49	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $100.00 / $812.83	Professional		$53.70	$100.00	$812.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $954.99 / $954.99	Facility		$114.82	$954.99	$954.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $954.99 / $1,000.00	Professional		$933.25	$954.99	$1,000.00