Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,373.77 / $1,373.77 / $1,956.69	Facility		$1,373.77	$1,373.77	$1,956.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,373.77 / $1,956.69 / $1,956.69	Professional		$1,373.77	$1,956.69	$1,956.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.40 / $57.62 / $141.13	Professional		$46.40	$57.62	$141.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,311.10 / $1,311.10 / $1,311.10	Facility		$1,311.10	$1,311.10	$1,311.10
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,311.10 / $1,311.10 / $1,311.10	Professional		$1,311.10	$1,311.10	$1,311.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,010.51 / $2,422.30 / $3,115.52	Facility		$2,010.51	$2,422.30	$3,115.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,340.55 / $4,340.55 / $4,342.10	Professional		$4,340.55	$4,340.55	$4,342.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $816.19 / $2,070.96	Facility		$332.00	$816.19	$2,070.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $828.39 / $1,095.31 / $1,592.34	Professional		$828.39	$1,095.31	$1,592.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $627.07 / $979.68 / $1,472.53	Professional		$627.07	$979.68	$1,472.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $2,422.30 / $3,115.52	Facility		$254.50	$2,422.30	$3,115.52
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4,340.55 / $4,340.55 / $4,342.10	Professional		$4,340.55	$4,340.55	$4,342.10
United Facility/Professional Professional Modifier Low / Median / High Price $531.91 / $837.77 / $1,768.69	Professional		$531.91	$837.77	$1,768.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $803.20 / $803.20 / $994.83	Facility		$803.20	$803.20	$994.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $701.14 / $1,085.40 / $1,911.97	Professional		$701.14	$1,085.40	$1,911.97