Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,568.00 / $1,963.75 / $2,495.77	Facility		$1,568.00	$1,963.75	$2,495.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,963.75 / $2,378.19 / $2,643.59	Professional		$1,963.75	$2,378.19	$2,643.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.65 / $67.86 / $166.22	Professional		$54.65	$67.86	$166.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,518.87 / $1,518.87 / $1,518.87	Facility		$1,518.87	$1,518.87	$1,518.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,518.87 / $1,518.87 / $1,518.87	Professional		$1,518.87	$1,518.87	$1,518.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,449.44 / $2,951.14 / $3,610.19	Facility		$2,449.44	$2,951.14	$3,610.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,062.39 / $5,062.39 / $5,063.93	Professional		$5,062.39	$5,062.39	$5,063.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $994.45 / $2,522.63	Facility		$332.00	$994.45	$2,522.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $989.72 / $1,302.74 / $1,940.11	Professional		$989.72	$1,302.74	$1,940.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $749.59 / $1,193.96 / $1,794.60	Professional		$749.59	$1,193.96	$1,794.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $2,951.14 / $3,610.19	Facility		$254.50	$2,951.14	$3,610.19
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $5,062.39 / $5,062.39 / $5,063.93	Professional		$5,062.39	$5,062.39	$5,063.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,101.44 / $2,915.52 / $3,847.88	Facility		$1,101.44	$2,915.52	$3,847.88
United Facility/Professional Professional Modifier Low / Median / High Price $110.93 / $935.92 / $2,187.36	Professional		$110.93	$935.92	$2,187.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $978.88 / $978.88 / $1,164.25	Facility		$978.88	$978.88	$1,164.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $820.55 / $1,322.81 / $2,330.17	Professional		$820.55	$1,322.81	$2,330.17