Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,086.69 / $1,586.77 / $2,569.17	Professional		$1,086.69	$1,586.77	$2,569.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,024.42 / $2,024.42 / $3,115.24	Professional		$2,024.42	$2,024.42	$3,115.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $227.21 / $1,704.05 / $2,272.06	Facility		$227.21	$1,704.05	$2,272.06
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $227.21 / $1,704.05 / $2,272.06	Professional		$227.21	$1,704.05	$2,272.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,217.64 / $2,217.64 / $2,217.64	Facility		$2,217.64	$2,217.64	$2,217.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,884.99 / $2,217.64 / $2,284.17	Professional		$1,884.99	$2,217.64	$2,284.17
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 $1,475.65 / $1,715.36 / $2,427.89	Professional		$1,475.65	$1,715.36	$2,427.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,057.42 / $2,057.42 / $2,166.91	Professional		$2,057.42	$2,057.42	$2,166.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,217.64 / $2,217.64 / $2,217.64	Facility		$2,217.64	$2,217.64	$2,217.64
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,587.35 / $2,217.64 / $2,284.17	Professional		$1,587.35	$2,217.64	$2,284.17
United Facility/Professional Professional Modifier Low / Median / High Price $882.71 / $1,493.93 / $2,206.78	Professional		$882.71	$1,493.93	$2,206.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,057.42 / $2,057.42 / $2,057.42	Facility		$2,057.42	$2,057.42	$2,057.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,057.42 / $2,057.42 / $2,166.91	Professional		$2,057.42	$2,057.42	$2,166.91