Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,365.00 / $3,100.50 / $5,460.00	Facility		$1,365.00	$3,100.50	$5,460.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $930.15 / $1,153.91 / $1,491.75	Professional		$930.15	$1,153.91	$1,491.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.26 / $336.26 / $1,808.04	Professional		$336.26	$336.26	$1,808.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $1,755.00 / $1,755.00	Facility		$1,755.00	$1,755.00	$1,755.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,281.15 / $1,755.00 / $1,755.00	Professional		$1,281.15	$1,755.00	$1,755.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,146.21 / $4,119.38 / $4,554.47	Facility		$2,146.21	$4,119.38	$4,554.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,374.96 / $9,399.00 / $9,399.00	Professional		$2,374.96	$9,399.00	$9,399.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $2,340.00 / $4,387.50	Facility		$294.00	$2,340.00	$4,387.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,047.50 / $2,574.00 / $4,231.50	Professional		$2,047.50	$2,574.00	$4,231.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,657.50 / $1,925.89 / $3,535.92	Professional		$1,657.50	$1,925.89	$3,535.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,608.46 / $4,282.31 / $4,685.10	Facility		$1,608.46	$4,282.31	$4,685.10
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,140.75 / $2,106.00 / $4,247.10	Professional		$1,140.75	$2,106.00	$4,247.10
United Facility/Professional Professional Modifier Low / Median / High Price $737.10 / $1,053.00 / $2,659.84	Professional		$737.10	$1,053.00	$2,659.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $2,242.44 / $2,242.44	Facility		$1,755.00	$2,242.44	$2,242.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,657.50 / $1,950.00 / $2,343.73	Professional		$1,657.50	$1,950.00	$2,343.73