Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,589.84 / $3,623.61 / $6,495.15	Facility		$1,589.84	$3,623.61	$6,495.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,207.86 / $1,367.40 / $1,937.15	Professional		$1,207.86	$1,367.40	$1,937.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $2,758.73	Professional		$800.00	$800.00	$2,758.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,279.00 / $2,279.00 / $2,279.00	Facility		$2,279.00	$2,279.00	$2,279.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,663.67 / $2,279.00 / $2,279.00	Professional		$1,663.67	$2,279.00	$2,279.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,734.80 / $4,814.39 / $5,913.58	Facility		$2,734.80	$4,814.39	$5,913.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,775.96 / $10,984.78 / $10,984.78	Professional		$2,775.96	$10,984.78	$10,984.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,962.70 / $5,127.75	Facility		$319.00	$2,962.70	$5,127.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,595.30 / $2,962.70 / $4,945.43	Professional		$1,595.30	$2,962.70	$4,945.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,937.15 / $2,250.82 / $4,132.50	Professional		$1,937.15	$2,250.82	$4,132.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,088.69 / $5,560.18 / $5,913.58	Facility		$2,088.69	$5,560.18	$5,913.58
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,481.35 / $2,484.11 / $5,241.70	Professional		$1,481.35	$2,484.11	$5,241.70
United Facility/Professional Professional Modifier Low / Median / High Price $957.18 / $1,367.40 / $3,577.69	Professional		$957.18	$1,367.40	$3,577.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,279.00 / $2,620.79 / $2,620.79	Facility		$2,279.00	$2,620.79	$2,620.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,937.15 / $2,279.00 / $2,739.17	Professional		$1,937.15	$2,279.00	$2,739.17