Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,081.23 / $1,860.33 / $3,043.89	Professional		$1,081.23	$1,860.33	$3,043.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,715.58 / $1,715.58 / $3,686.80	Professional		$1,715.58	$1,715.58	$3,686.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $258.95 / $2,082.30 / $2,632.89	Facility		$258.95	$2,082.30	$2,632.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $258.95 / $2,082.30 / $2,632.89	Professional		$258.95	$2,082.30	$2,632.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,786.79 / $1,786.79 / $1,786.79	Facility		$1,786.79	$1,786.79	$1,786.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,518.77 / $1,786.79 / $2,345.16	Professional		$1,518.77	$1,786.79	$2,345.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $332.00 / $332.00	Facility		$319.00	$332.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,631.81 / $2,054.12 / $3,160.19	Professional		$1,631.81	$2,054.12	$3,160.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,845.62 / $1,845.62 / $2,632.89	Professional		$1,845.62	$1,845.62	$2,632.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,786.79 / $1,786.79 / $1,786.79	Facility		$1,786.79	$1,786.79	$1,786.79
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $206.40 / $1,786.79 / $2,345.16	Professional		$206.40	$1,786.79	$2,345.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,051.05 / $1,576.58 / $2,241.40	Professional		$1,051.05	$1,576.58	$2,241.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,845.62 / $1,845.62 / $1,845.62	Facility		$1,845.62	$1,845.62	$1,845.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,845.62 / $1,845.62 / $1,960.97	Professional		$1,845.62	$1,845.62	$1,960.97