Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,080.09 / $1,797.14 / $2,394.84	Professional		$1,080.09	$1,797.14	$2,394.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,925.00 / $1,965.62 / $2,908.29	Professional		$1,925.00	$1,965.62	$2,908.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $228.27 / $1,712.07 / $2,282.76	Facility		$228.27	$1,712.07	$2,282.76
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $228.27 / $1,712.07 / $2,282.76	Professional		$228.27	$1,712.07	$2,282.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,772.06 / $1,772.06 / $2,111.63	Facility		$1,772.06	$1,772.06	$2,111.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,506.25 / $1,772.06 / $2,111.63	Professional		$1,506.25	$1,772.06	$2,111.63
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 $1,444.14 / $1,560.19 / $2,208.27	Professional		$1,444.14	$1,560.19	$2,208.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,044.96 / $2,044.96 / $2,153.78	Professional		$2,044.96	$2,044.96	$2,153.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,772.06 / $1,772.06 / $2,111.63	Facility		$1,772.06	$1,772.06	$2,111.63
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,443.75 / $1,772.06 / $2,111.63	Professional		$1,443.75	$1,772.06	$2,111.63
United Facility/Professional Facility Modifier Low / Median / High Price $111.50 / $1,095.27 / $1,791.25	Facility		$111.50	$1,095.27	$1,791.25
United Facility/Professional Professional Modifier Low / Median / High Price $822.92 / $1,419.05 / $2,219.79	Professional		$822.92	$1,419.05	$2,219.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,044.96 / $2,044.96 / $2,044.96	Facility		$2,044.96	$2,044.96	$2,044.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,044.96 / $2,044.96 / $2,153.78	Professional		$2,044.96	$2,044.96	$2,153.78