Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,258.93 / $1,778.28	Facility		$575.44	$1,258.93	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $812.83 / $1,348.96	Professional		$660.69	$812.83	$1,348.96
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 $954.99 / $977.24 / $2,511.89	Professional		$954.99	$977.24	$2,511.89
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 $891.25 / $2,511.89 / $50,118.72	Facility		$891.25	$2,511.89	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $1,584.89	Professional		$645.65	$645.65	$1,584.89
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 / $1,737.80 / $3,019.95	Professional		$977.24	$1,737.80	$3,019.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,000.00 / $1,122.02	Professional		$933.25	$1,000.00	$1,122.02
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
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 / $1,621.81 / $1,949.84	Facility		$588.84	$1,621.81	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $831.76 / $1,288.25	Professional		$512.86	$831.76	$1,288.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $933.25 / $933.25	Facility		$831.76	$933.25	$933.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $933.25 / $1,000.00	Professional		$891.25	$933.25	$1,000.00