Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,034.00 / $6,230.00	Facility		$1,000.00	$3,034.00	$6,230.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,080.00	Professional		$1,000.00	$1,000.00	$1,080.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,115.16 / $1,413.99 / $3,284.71	Professional		$1,115.16	$1,413.99	$3,284.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $101.83 / $101.83 / $2,025.72	Facility		$101.83	$101.83	$2,025.72
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $101.83 / $2,025.72 / $2,127.56	Professional		$101.83	$2,025.72	$2,127.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $992.93 / $1,304.22 / $3,482.03	Facility		$992.93	$1,304.22	$3,482.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.22 / $726.80 / $2,075.15	Professional		$356.22	$726.80	$2,075.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,326.37 / $3,304.40	Facility		$332.00	$1,326.37	$3,304.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $337.26 / $1,539.79 / $2,669.61	Professional		$337.26	$1,539.79	$2,669.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $610.04 / $610.04 / $610.04	Facility		$610.04	$610.04	$610.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $610.04 / $1,007.43 / $2,202.77	Professional		$610.04	$1,007.43	$2,202.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $372.00 / $1,290.82 / $3,482.03	Facility		$372.00	$1,290.82	$3,482.03
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $176.83 / $1,192.34 / $3,715.01	Professional		$176.83	$1,192.34	$3,715.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,152.82 / $1,538.56 / $3,184.52	Professional		$1,152.82	$1,538.56	$3,184.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,348.42 / $1,348.42 / $2,806.78	Facility		$1,348.42	$1,348.42	$2,806.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $917.70 / $1,468.29 / $3,209.84	Professional		$917.70	$1,468.29	$3,209.84