Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $809.51 / $1,201.78 / $2,100.91	Facility		$809.51	$1,201.78	$2,100.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $819.15 / $1,114.89 / $1,493.65	Professional		$819.15	$1,114.89	$1,493.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $706.45 / $877.29 / $1,911.62	Professional		$706.45	$877.29	$1,911.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,678.13 / $1,678.13 / $1,678.13	Facility		$1,678.13	$1,678.13	$1,678.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,678.13 / $1,678.13 / $1,678.13	Professional		$1,678.13	$1,678.13	$1,678.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,336.88 / $1,336.88 / $1,336.88	Facility		$1,336.88	$1,336.88	$1,336.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $922.08 / $1,398.12 / $3,228.68	Professional		$922.08	$1,398.12	$3,228.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $685.00 / $1,798.60	Facility		$332.00	$685.00	$1,798.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,137.38 / $1,557.07 / $2,463.23	Professional		$1,137.38	$1,557.07	$2,463.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,090.06 / $1,090.06 / $1,253.85	Facility		$1,090.06	$1,090.06	$1,253.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $839.48 / $1,454.79 / $2,493.85	Professional		$839.48	$1,454.79	$2,493.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,336.88 / $1,336.88 / $1,336.88	Facility		$1,336.88	$1,336.88	$1,336.88
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $917.35 / $1,319.88 / $2,707.30	Professional		$917.35	$1,319.88	$2,707.30
United Facility/Professional Professional Modifier Low / Median / High Price $815.98 / $1,069.31 / $2,346.52	Professional		$815.98	$1,069.31	$2,346.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $464.32 / $1,253.85 / $2,450.00	Facility		$464.32	$1,253.85	$2,450.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $905.42 / $1,460.68 / $2,935.86	Professional		$905.42	$1,460.68	$2,935.86