Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,356.61 / $3,081.44 / $5,523.33	Facility		$1,356.61	$3,081.44	$5,523.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,027.15 / $1,274.24 / $1,647.31	Professional		$1,027.15	$1,274.24	$1,647.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $33.47 / $1,938.01	Professional		$33.47	$33.47	$1,938.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,938.01 / $1,938.01 / $1,938.01	Facility		$1,938.01	$1,938.01	$1,938.01
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,414.75 / $1,938.01 / $1,938.01	Professional		$1,414.75	$1,938.01	$1,938.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,325.61 / $4,094.06 / $5,028.93	Facility		$2,325.61	$4,094.06	$5,028.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,360.51 / $9,341.20 / $9,341.20	Professional		$2,360.51	$9,341.20	$9,341.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $2,325.61 / $4,360.52	Facility		$294.00	$2,325.61	$4,360.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,034.91 / $2,558.17 / $4,205.47	Professional		$2,034.91	$2,558.17	$4,205.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,647.31 / $1,938.01 / $3,514.18	Professional		$1,647.31	$1,938.01	$3,514.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,776.19 / $4,728.41 / $5,028.93	Facility		$1,776.19	$4,728.41	$5,028.93
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,259.71 / $2,112.42 / $4,457.42	Professional		$1,259.71	$2,112.42	$4,457.42
United Facility/Professional Professional Modifier Low / Median / High Price $813.96 / $1,162.81 / $3,104.69	Professional		$813.96	$1,162.81	$3,104.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,938.01 / $2,228.66 / $2,228.66	Facility		$1,938.01	$2,228.66	$2,228.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,647.31 / $1,938.01 / $2,329.33	Professional		$1,647.31	$1,938.01	$2,329.33