Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,656.75 / $2,877.52 / $4,970.26	Facility		$1,656.75	$2,877.52	$4,970.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,743.95 / $2,134.60 / $4,795.85	Professional		$1,743.95	$2,134.60	$4,795.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.33 / $335.33 / $1,672.75	Professional		$335.33	$335.33	$1,672.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,117.98 / $1,117.98 / $1,117.98	Facility		$1,117.98	$1,117.98	$1,117.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $816.13 / $1,117.98 / $1,117.98	Professional		$816.13	$1,117.98	$1,117.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,111.83 / $2,727.72 / $3,684.10	Facility		$1,111.83	$2,727.72	$3,684.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $894.38 / $2,544.92 / $8,405.84	Professional		$894.38	$2,544.92	$8,405.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $2,092.73 / $3,923.89	Facility		$294.00	$2,092.73	$3,923.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,831.15 / $2,302.01 / $3,784.37	Professional		$1,831.15	$2,302.01	$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 $1,111.83 / $2,727.72 / $3,684.10	Facility		$1,111.83	$2,727.72	$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 $469.55 / $670.79 / $1,755.06	Professional		$469.55	$670.79	$1,755.06
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