Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $1,118.06 / $1,586.22	Facility		$918.00	$1,118.06	$1,586.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $837.26 / $1,022.96 / $1,359.56	Professional		$837.26	$1,022.96	$1,359.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $735.63 / $903.91 / $2,036.99	Professional		$735.63	$903.91	$2,036.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $172.67 / $172.67 / $1,108.89	Facility		$172.67	$172.67	$1,108.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $172.67 / $1,108.89 / $1,281.57	Professional		$172.67	$1,108.89	$1,281.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $999.53 / $999.53 / $999.53	Facility		$999.53	$999.53	$999.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $846.31 / $1,500.99 / $3,215.58	Professional		$846.31	$1,500.99	$3,215.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $786.44 / $1,920.67	Facility		$332.00	$786.44	$1,920.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $982.90 / $1,291.71 / $1,798.71	Professional		$982.90	$1,291.71	$1,798.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $747.47 / $1,098.39 / $1,874.92	Professional		$747.47	$1,098.39	$1,874.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $999.53 / $999.53	Facility		$555.00	$999.53	$999.53
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $834.84 / $1,391.54 / $3,015.17	Professional		$834.84	$1,391.54	$3,015.17
United Facility/Professional Professional Modifier Low / Median / High Price $861.39 / $1,113.22 / $2,454.60	Professional		$861.39	$1,113.22	$2,454.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,045.58 / $1,045.58 / $1,132.48	Facility		$1,045.58	$1,045.58	$1,132.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $888.74 / $1,137.71 / $2,272.63	Professional		$888.74	$1,137.71	$2,272.63