Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,287.00 / $2,187.90 / $3,667.95	Facility		$1,287.00	$2,187.90	$3,667.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,003.86 / $1,287.00 / $1,580.00	Professional		$1,003.86	$1,287.00	$1,580.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,287.00 / $1,287.00 / $3,346.20	Facility		$1,287.00	$1,287.00	$3,346.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $514.79 / $785.07 / $2,393.82	Professional		$514.79	$785.07	$2,393.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $772.20 / $1,287.00 / $1,287.00	Facility		$772.20	$1,287.00	$1,287.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,287.00 / $1,287.00 / $1,287.00	Professional		$1,287.00	$1,287.00	$1,287.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $899.32 / $2,606.03 / $3,339.35	Facility		$899.32	$2,606.03	$3,339.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $775.41 / $1,825.07 / $6,203.34	Professional		$775.41	$1,825.07	$6,203.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,673.10 / $2,895.75	Facility		$319.00	$1,673.10	$2,895.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $592.02 / $1,029.59 / $2,355.21	Professional		$592.02	$1,029.59	$2,355.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.17 / $1,222.65 / $2,295.42	Professional		$851.17	$1,222.65	$2,295.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,718.79 / $3,339.35	Facility		$555.00	$2,718.79	$3,339.35
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $640.00 / $1,450.58 / $3,861.00	Professional		$640.00	$1,450.58	$3,861.00
United Facility/Professional Professional Modifier Low / Median / High Price $540.54 / $772.20 / $1,950.55	Professional		$540.54	$772.20	$1,950.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $98.94 / $1,364.22 / $1,364.22	Facility		$98.94	$1,364.22	$1,364.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $826.14 / $1,271.08 / $1,514.80	Professional		$826.14	$1,271.08	$1,514.80