Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $994.45 / $1,387.47 / $3,929.08	Facility		$994.45	$1,387.47	$3,929.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $994.45 / $1,387.47 / $3,657.29	Professional		$994.45	$1,387.47	$3,657.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.93 / $1,764.72 / $3,379.00	Professional		$1,380.93	$1,764.72	$3,379.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,599.90 / $1,599.90 / $1,599.90	Facility		$1,599.90	$1,599.90	$1,599.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,599.90 / $1,599.90 / $1,599.90	Professional		$1,599.90	$1,599.90	$1,599.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,341.00 / $1,341.00 / $7,227.90	Facility		$1,341.00	$1,341.00	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,239.41 / $2,122.92 / $5,208.72	Professional		$1,239.41	$2,122.92	$5,208.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,955.79 / $3,190.14	Facility		$319.00	$1,955.79	$3,190.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,207.50 / $1,966.00 / $2,507.34	Professional		$1,207.50	$1,966.00	$2,507.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $934.88 / $1,068.74 / $2,317.19	Professional		$934.88	$1,068.74	$2,317.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,341.00 / $7,227.90	Facility		$555.00	$1,341.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,304.41 / $2,112.58 / $4,881.20	Professional		$1,304.41	$2,112.58	$4,881.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,136.66 / $3,847.00 / $9,202.00	Facility		$1,136.66	$3,847.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,137.58 / $1,727.96 / $3,423.97	Professional		$1,137.58	$1,727.96	$3,423.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,248.40 / $1,248.40 / $3,417.29	Facility		$1,248.40	$1,248.40	$3,417.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $956.82 / $1,248.40 / $2,425.23	Professional		$956.82	$1,248.40	$2,425.23