Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $737.82 / $1,177.66 / $2,596.00	Professional		$737.82	$1,177.66	$2,596.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,984.08 / $1,984.08 / $2,480.10	Professional		$1,984.08	$1,984.08	$2,480.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $224.55 / $224.55 / $2,919.15	Facility		$224.55	$224.55	$2,919.15
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $224.55 / $224.55 / $2,919.15	Professional		$224.55	$224.55	$2,919.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,208.78 / $1,208.78 / $1,208.78	Facility		$1,208.78	$1,208.78	$1,208.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.01 / $1,208.78 / $1,890.00	Professional		$200.01	$1,208.78	$1,890.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,908.54 / $2,385.67 / $2,385.67	Professional		$1,908.54	$2,385.67	$2,385.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,574.02 / $1,672.40 / $2,385.67	Professional		$1,574.02	$1,672.40	$2,385.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,208.78 / $1,208.78 / $1,208.78	Facility		$1,208.78	$1,208.78	$1,208.78
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $200.01 / $1,208.78 / $1,890.00	Professional		$200.01	$1,208.78	$1,890.00
United Facility/Professional Professional Modifier Low / Median / High Price $917.96 / $1,376.95 / $1,890.37	Professional		$917.96	$1,376.95	$1,890.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,574.02 / $1,574.02 / $1,574.02	Facility		$1,574.02	$1,574.02	$1,574.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,574.02 / $1,574.02 / $2,385.67	Professional		$1,574.02	$1,574.02	$2,385.67