Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,258.93 / $1,778.28	Facility		$524.81	$1,258.93	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $1,412.54	Professional		$616.60	$812.83	$1,412.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $3,162.28	Facility		$1,584.89	$1,584.89	$3,162.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $954.99 / $2,454.71	Professional		$933.25	$954.99	$2,454.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,288.25 / $1,288.25	Facility		$1,202.26	$1,288.25	$1,288.25
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,511.89 / $50,118.72	Facility		$1,122.02	$2,511.89	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,862.09	Professional		$812.83	$812.83	$1,862.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,630.27 / $6,025.60	Facility		$1,584.89	$2,630.27	$6,025.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,659.59 / $3,019.95	Professional		$977.24	$1,659.59	$3,019.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,096.48	Facility		$1,047.13	$1,047.13	$1,096.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,000.00 / $1,047.13	Professional		$933.25	$1,000.00	$1,047.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $50,118.72 / $75,857.76	Facility		$2,238.72	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $1,513.56	Professional		$1,023.29	$1,513.56	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,659.59 / $1,949.84	Facility		$588.84	$1,659.59	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $794.33 / $1,348.96	Professional		$512.86	$794.33	$1,348.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,047.13 / $1,122.02	Facility		$933.25	$1,047.13	$1,122.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,000.00 / $1,047.13	Professional		$933.25	$1,000.00	$1,047.13