Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,201.09 / $1,621.78 / $4,638.37	Facility		$1,201.09	$1,621.78	$4,638.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,201.09 / $1,574.71 / $3,645.39	Professional		$1,201.09	$1,574.71	$3,645.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,401.87 / $1,722.56 / $3,849.57	Professional		$1,401.87	$1,722.56	$3,849.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,886.24 / $1,886.24 / $1,886.24	Facility		$1,886.24	$1,886.24	$1,886.24
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,886.24 / $1,886.24 / $1,886.24	Professional		$1,886.24	$1,886.24	$1,886.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,590.97 / $1,590.97 / $7,227.90	Facility		$1,590.97	$1,590.97	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,431.53 / $2,620.44 / $5,367.32	Professional		$1,431.53	$2,620.44	$5,367.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,430.00 / $4,320.00	Facility		$319.00	$2,430.00	$4,320.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,275.15 / $2,000.00 / $3,128.00	Professional		$1,275.15	$2,000.00	$3,128.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,113.35 / $1,463.12 / $2,759.55	Professional		$1,113.35	$1,463.12	$2,759.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,590.97 / $7,227.90	Facility		$555.00	$1,590.97	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,544.82 / $2,501.92 / $4,921.56	Professional		$1,544.82	$2,501.92	$4,921.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,286.69 / $2,214.96 / $4,756.21	Professional		$1,286.69	$2,214.96	$4,756.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,486.73 / $1,486.73 / $4,032.83	Facility		$1,486.73	$1,486.73	$4,032.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,147.35 / $1,486.73 / $2,888.22	Professional		$1,147.35	$1,486.73	$2,888.22