Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,568.00 / $1,832.07 / $2,034.51	Facility		$1,568.00	$1,832.07	$2,034.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $857.11 / $1,832.07 / $3,634.99	Professional		$857.11	$1,832.07	$3,634.99
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 $1,310.63 / $1,310.63 / $1,310.63	Facility		$1,310.63	$1,310.63	$1,310.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,310.63 / $1,310.63 / $1,310.63	Professional		$1,310.63	$1,310.63	$1,310.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,064.62 / $2,487.50 / $3,114.40	Facility		$2,064.62	$2,487.50	$3,114.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.45 / $4,352.99 / $4,354.58	Professional		$872.45	$4,352.99	$4,354.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $838.18 / $2,126.66	Facility		$332.00	$838.18	$2,126.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $850.66 / $1,124.21 / $1,635.16	Professional		$850.66	$1,124.21	$1,635.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $631.65 / $1,006.11 / $1,512.25	Professional		$631.65	$1,006.11	$1,512.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $2,487.50 / $3,114.40	Facility		$254.50	$2,487.50	$3,114.40
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $872.45 / $4,352.99 / $4,354.58	Professional		$872.45	$4,352.99	$4,354.58
United Facility/Professional Professional Modifier Low / Median / High Price $645.27 / $892.62 / $1,854.65	Professional		$645.27	$892.62	$1,854.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $824.86 / $824.86 / $993.05	Facility		$824.86	$824.86	$993.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $699.90 / $1,114.68 / $1,963.55	Professional		$699.90	$1,114.68	$1,963.55