Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,725.50 / $3,166.80 / $5,684.00	Facility		$1,725.50	$3,166.80	$5,684.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,320.80 / $1,583.40 / $2,354.80	Professional		$1,320.80	$1,583.40	$2,354.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $2,740.50	Professional		$200.00	$200.00	$2,740.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,218.00 / $2,030.00 / $2,030.00	Facility		$1,218.00	$2,030.00	$2,030.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,481.90 / $2,030.00 / $2,030.00	Professional		$1,481.90	$2,030.00	$2,030.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,436.00 / $4,111.13 / $5,267.99	Facility		$2,436.00	$4,111.13	$5,267.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,232.23 / $2,954.10 / $9,784.60	Professional		$1,232.23	$2,954.10	$9,784.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,030.00 / $4,567.50	Facility		$332.00	$2,030.00	$4,567.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,421.00 / $2,117.90 / $3,714.90	Professional		$1,421.00	$2,117.90	$3,714.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,725.50 / $2,004.90 / $3,680.99	Professional		$1,725.50	$2,004.90	$3,680.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $4,288.38 / $5,267.99	Facility		$254.50	$4,288.38	$5,267.99
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,285.89 / $2,446.25 / $6,090.00	Professional		$1,285.89	$2,446.25	$6,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $852.60 / $1,218.00 / $3,076.63	Professional		$852.60	$1,218.00	$3,076.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,151.80 / $2,151.80 / $2,629.17	Facility		$2,151.80	$2,151.80	$2,629.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,725.50 / $2,030.00 / $2,783.14	Professional		$1,725.50	$2,030.00	$2,783.14