Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,482.36 / $2,772.88 / $4,883.06	Facility		$1,482.36	$2,772.88	$4,883.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $769.14 / $769.14 / $769.14	Professional		$769.14	$769.14	$769.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.83 / $288.83 / $1,672.75	Professional		$288.83	$288.83	$1,672.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,169.80 / $1,169.80 / $1,169.80	Facility		$1,169.80	$1,169.80	$1,169.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $853.95 / $1,169.80 / $1,169.80	Professional		$853.95	$1,169.80	$1,169.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,163.36 / $2,854.59 / $3,684.10	Facility		$1,163.36	$2,854.59	$3,684.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $935.84 / $2,544.92 / $8,405.84	Professional		$935.84	$2,544.92	$8,405.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,267.14 / $3,923.89	Facility		$319.00	$2,267.14	$3,923.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,831.15 / $2,354.33 / $3,784.37	Professional		$1,831.15	$2,354.33	$3,784.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,482.36 / $1,743.95 / $3,162.29	Professional		$1,482.36	$1,743.95	$3,162.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,133.57 / $2,854.59 / $3,684.10	Facility		$1,133.57	$2,854.59	$3,684.10
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,133.57 / $1,900.91 / $3,925.66	Professional		$1,133.57	$1,900.91	$3,925.66
United Facility/Professional Professional Modifier Low / Median / High Price $491.32 / $701.88 / $1,836.41	Professional		$491.32	$701.88	$1,836.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,743.95 / $2,005.50 / $2,005.50	Facility		$1,743.95	$2,005.50	$2,005.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,482.36 / $1,743.95 / $2,096.08	Professional		$1,482.36	$1,743.95	$2,096.08