Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $582.95 / $4,377.67 / $7,846.76	Facility		$582.95	$4,377.67	$7,846.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.43 / $455.43 / $2,147.54	Professional		$455.43	$455.43	$2,147.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $208.00 / $2,753.25	Professional		$208.00	$208.00	$2,753.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,753.25 / $2,753.25 / $2,753.25	Facility		$2,753.25	$2,753.25	$2,753.25
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,009.87 / $2,753.25 / $2,753.25	Professional		$2,009.87	$2,753.25	$2,753.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,303.90 / $5,816.23 / $7,145.02	Facility		$3,303.90	$5,816.23	$7,145.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,353.83 / $13,270.67 / $13,270.67	Professional		$3,353.83	$13,270.67	$13,270.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $3,303.90 / $6,194.81	Facility		$294.00	$3,303.90	$6,194.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,890.91 / $3,634.29 / $5,974.55	Professional		$2,890.91	$3,634.29	$5,974.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,340.26 / $2,753.25 / $4,992.45	Professional		$2,340.26	$2,753.25	$4,992.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,523.35 / $6,718.02 / $7,145.02	Facility		$2,523.35	$6,718.02	$7,145.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,789.61 / $3,001.04 / $6,332.48	Professional		$1,789.61	$3,001.04	$6,332.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,156.36 / $1,651.95 / $4,172.77	Professional		$1,156.36	$1,651.95	$4,172.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,753.25 / $3,166.17 / $3,166.17	Facility		$2,753.25	$3,166.17	$3,166.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,340.26 / $2,753.25 / $3,309.18	Professional		$2,340.26	$2,753.25	$3,309.18