Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.35 / $1,133.69 / $2,098.52	Facility		$957.35	$1,133.69	$2,098.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $957.35 / $1,162.20 / $1,642.41	Professional		$957.35	$1,162.20	$1,642.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $850.84 / $1,112.22 / $3,574.50	Professional		$850.84	$1,112.22	$3,574.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,018.51 / $2,170.44 / $2,170.44	Facility		$2,018.51	$2,170.44	$2,170.44
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,170.44 / $2,170.44 / $2,170.44	Professional		$2,170.44	$2,170.44	$2,170.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,482.94 / $1,482.94 / $1,482.94	Facility		$1,482.94	$1,482.94	$1,482.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,260.50 / $1,260.50 / $1,482.94	Professional		$1,260.50	$1,260.50	$1,482.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,605.12 / $5,861.52	Facility		$319.00	$2,605.12	$5,861.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,537.02 / $1,953.84 / $4,746.53	Professional		$1,537.02	$1,953.84	$4,746.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,566.21 / $1,664.10 / $2,170.44	Professional		$1,566.21	$1,664.10	$2,170.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,482.94 / $2,605.12	Facility		$597.00	$1,482.94	$2,605.12
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,260.50 / $1,482.94 / $3,848.44	Professional		$1,260.50	$1,482.94	$3,848.44
United Facility/Professional Professional Modifier Low / Median / High Price $866.44 / $1,563.07 / $2,373.23	Professional		$866.44	$1,563.07	$2,373.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,566.21 / $1,566.21 / $1,740.67	Facility		$1,566.21	$1,566.21	$1,740.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,566.21 / $1,566.21 / $1,664.10	Professional		$1,566.21	$1,566.21	$1,664.10