Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,568.00 / $2,176.08 / $2,321.98	Facility		$1,568.00	$2,176.08	$2,321.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,176.08 / $2,321.98 / $2,637.93	Professional		$2,176.08	$2,321.98	$2,637.93
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 $1,688.06 / $1,688.06 / $1,688.06	Facility		$1,688.06	$1,688.06	$1,688.06
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,688.06 / $1,688.06 / $1,688.06	Professional		$1,688.06	$1,688.06	$1,688.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,607.91 / $3,142.06 / $4,011.58	Facility		$2,607.91	$3,142.06	$4,011.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,121.42 / $5,597.18 / $5,597.18	Professional		$1,121.42	$5,597.18	$5,597.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,058.81 / $2,685.71	Facility		$332.00	$1,058.81	$2,685.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,074.29 / $1,420.44 / $2,065.78	Professional		$1,074.29	$1,420.44	$2,065.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $799.33 / $1,271.30 / $1,910.84	Professional		$799.33	$1,271.30	$1,910.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $3,142.06 / $4,011.58	Facility		$254.50	$3,142.06	$4,011.58
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,121.42 / $5,597.18 / $5,597.18	Professional		$1,121.42	$5,597.18	$5,597.18
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 $785.69 / $1,122.41 / $2,694.89	Professional		$785.69	$1,122.41	$2,694.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,042.28 / $1,042.28 / $1,268.10	Facility		$1,042.28	$1,042.28	$1,268.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $893.75 / $1,408.49 / $2,481.09	Professional		$893.75	$1,408.49	$2,481.09