Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,327.90 / $3,016.23 / $5,406.45	Facility		$1,327.90	$3,016.23	$5,406.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,005.41 / $1,247.28 / $1,612.45	Professional		$1,005.41	$1,247.28	$1,612.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,549.20 / $1,549.20 / $4,060.14	Professional		$1,549.20	$1,549.20	$4,060.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,897.00 / $1,897.00 / $1,897.00	Facility		$1,897.00	$1,897.00	$1,897.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,384.81 / $1,897.00 / $1,897.00	Professional		$1,384.81	$1,897.00	$1,897.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,276.40 / $4,007.41 / $4,923.00	Facility		$2,276.40	$4,007.41	$4,923.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,311.04 / $9,143.54 / $9,143.54	Professional		$2,311.04	$9,143.54	$9,143.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $2,276.40 / $4,268.25	Facility		$294.00	$2,276.40	$4,268.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,991.85 / $2,504.04 / $4,116.49	Professional		$1,991.85	$2,504.04	$4,116.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,612.45 / $1,897.00 / $3,439.82	Professional		$1,612.45	$1,897.00	$3,439.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,738.60 / $4,628.80 / $4,923.00	Facility		$1,738.60	$4,628.80	$4,923.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,233.05 / $2,067.73 / $4,363.10	Professional		$1,233.05	$2,067.73	$4,363.10
United Facility/Professional Professional Modifier Low / Median / High Price $796.74 / $1,138.20 / $2,978.01	Professional		$796.74	$1,138.20	$2,978.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,897.00 / $2,181.50 / $2,181.50	Facility		$1,897.00	$2,181.50	$2,181.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,612.45 / $1,897.00 / $2,280.04	Professional		$1,612.45	$1,897.00	$2,280.04