Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,579.50 / $3,100.50 / $5,557.50	Facility		$1,579.50	$3,100.50	$5,557.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.75 / $358.75 / $1,657.50	Professional		$358.75	$358.75	$1,657.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $239.16 / $1,974.38	Professional		$239.16	$239.16	$1,974.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $1,950.00	Facility		$1,950.00	$1,950.00	$1,950.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $1,950.00	Professional		$1,950.00	$1,950.00	$1,950.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,787.18 / $3,948.61 / $5,059.72	Facility		$1,787.18	$3,948.61	$5,059.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,560.00 / $2,845.47 / $9,399.00	Professional		$1,560.00	$2,845.47	$9,399.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $2,340.00 / $4,387.50	Facility		$294.00	$2,340.00	$4,387.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,047.50 / $2,574.00 / $4,231.50	Professional		$2,047.50	$2,574.00	$4,231.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,657.50 / $1,950.00 / $3,535.92	Professional		$1,657.50	$1,950.00	$3,535.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,303.60 / $4,757.35 / $5,059.72	Facility		$1,303.60	$4,757.35	$5,059.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,267.50 / $2,340.00 / $4,485.00	Professional		$1,267.50	$2,340.00	$4,485.00
United Facility/Professional Professional Modifier Low / Median / High Price $819.00 / $1,170.00 / $2,955.38	Professional		$819.00	$1,170.00	$2,955.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,060.89 / $2,242.44 / $2,242.44	Facility		$2,060.89	$2,242.44	$2,242.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,657.50 / $2,060.89 / $2,351.35	Professional		$1,657.50	$2,060.89	$2,351.35