Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.23 / $1,098.08 / $2,934.55	Facility		$869.23	$1,098.08	$2,934.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $802.59 / $940.42 / $1,107.80	Professional		$802.59	$940.42	$1,107.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.24 / $324.08 / $504.08	Professional		$261.24	$324.08	$504.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,276.07 / $1,276.07 / $1,276.07	Facility		$1,276.07	$1,276.07	$1,276.07
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,276.07 / $1,276.07 / $1,276.07	Professional		$1,276.07	$1,276.07	$1,276.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,076.33 / $1,076.33 / $1,076.33	Facility		$1,076.33	$1,076.33	$1,076.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.85 / $1,267.71 / $3,671.73	Professional		$707.85	$1,267.71	$3,671.73
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $227.97 / $346.00 / $2,334.17	Facility		$227.97	$346.00	$2,334.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $936.57 / $1,265.64 / $1,794.72	Professional		$936.57	$1,265.64	$1,794.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.54 / $19.54 / $19.54	Facility		$19.54	$19.54	$19.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.19 / $1,044.73 / $1,783.34	Professional		$94.19	$1,044.73	$1,783.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,076.33 / $1,076.33	Facility		$555.00	$1,076.33	$1,076.33
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $364.16 / $651.03 / $3,137.14	Professional		$364.16	$651.03	$3,137.14
United Facility/Professional Professional Modifier Low / Median / High Price $407.17 / $787.67 / $1,608.30	Professional		$407.17	$787.67	$1,608.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $678.31 / $983.16 / $983.16	Facility		$678.31	$983.16	$983.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $435.10 / $1,096.03 / $2,136.98	Professional		$435.10	$1,096.03	$2,136.98