Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,035.72 / $3,521.43 / $11,195.05	Facility		$3,035.72	$3,521.43	$11,195.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,035.72 / $3,519.67 / $3,739.65	Professional		$3,035.72	$3,519.67	$3,739.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $547.04 / $547.04 / $683.80	Facility		$547.04	$547.04	$683.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,265.64 / $3,666.33 / $3,666.33	Professional		$3,265.64	$3,666.33	$3,666.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $554.79 / $554.79 / $554.79	Facility		$554.79	$554.79	$554.79
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $554.79 / $554.79 / $554.79	Professional		$554.79	$554.79	$554.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.92 / $402.64 / $3,739.65	Facility		$390.92	$402.64	$3,739.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,739.65 / $3,739.65 / $3,739.65	Professional		$3,739.65	$3,739.65	$3,739.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $379.53 / $379.53 / $614.84	Facility		$379.53	$379.53	$614.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $322.60 / $379.53 / $379.53	Professional		$322.60	$379.53	$379.53
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $379.53 / $379.53 / $379.53	Facility		$379.53	$379.53	$379.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $379.53 / $379.53 / $379.53	Professional		$379.53	$379.53	$379.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $402.64 / $402.64 / $3,739.65	Facility		$402.64	$402.64	$3,739.65
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,739.65 / $3,739.65 / $3,739.65	Professional		$3,739.65	$3,739.65	$3,739.65
United Facility/Professional Professional Modifier Low / Median / High Price $3,666.33 / $3,666.33 / $5,137.74	Professional		$3,666.33	$3,666.33	$5,137.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $379.53 / $379.53 / $446.51	Facility		$379.53	$379.53	$446.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $379.53 / $379.53 / $379.53	Professional		$379.53	$379.53	$379.53