Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $716.16 / $1,035.46 / $1,667.26	Professional		$716.16	$1,035.46	$1,667.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,306.29 / $1,306.29 / $2,021.63	Professional		$1,306.29	$1,306.29	$2,021.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $148.24 / $1,111.84 / $1,482.46	Facility		$148.24	$1,111.84	$1,482.46
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $148.24 / $1,111.84 / $1,482.46	Professional		$148.24	$1,111.84	$1,482.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,116.58 / $1,116.58 / $1,116.58	Facility		$1,116.58	$1,116.58	$1,116.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.10 / $1,116.58 / $1,465.53	Professional		$949.10	$1,116.58	$1,465.53
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 $972.48 / $1,106.85 / $1,566.63	Professional		$972.48	$1,106.85	$1,566.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,355.91 / $1,355.91 / $1,428.06	Professional		$1,355.91	$1,355.91	$1,428.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,116.58 / $1,116.58 / $1,116.58	Facility		$1,116.58	$1,116.58	$1,116.58
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $949.10 / $1,116.58 / $1,465.53	Professional		$949.10	$1,116.58	$1,465.53
United Facility/Professional Professional Modifier Low / Median / High Price $572.85 / $955.98 / $1,422.06	Professional		$572.85	$955.98	$1,422.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,355.91 / $1,355.91 / $1,355.91	Facility		$1,355.91	$1,355.91	$1,355.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,355.91 / $1,355.91 / $1,428.06	Professional		$1,355.91	$1,355.91	$1,428.06