Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $835.56 / $989.47 / $1,831.55	Facility		$835.56	$989.47	$1,831.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $835.56 / $1,003.06 / $1,433.47	Professional		$835.56	$1,003.06	$1,433.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $742.60 / $970.72 / $3,119.76	Professional		$742.60	$970.72	$3,119.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,761.72 / $1,894.32 / $1,894.32	Facility		$1,761.72	$1,894.32	$1,894.32
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,894.32 / $1,894.32 / $1,894.32	Professional		$1,894.32	$1,894.32	$1,894.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $1,800.00 / $1,800.00	Facility		$1,800.00	$1,800.00	$1,800.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,530.00 / $1,530.00 / $1,800.00	Professional		$1,530.00	$1,530.00	$1,800.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,273.69 / $5,115.83	Facility		$319.00	$2,273.69	$5,115.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,341.48 / $1,705.28 / $4,142.68	Professional		$1,341.48	$1,705.28	$4,142.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,366.96 / $1,452.40 / $1,894.32	Professional		$1,366.96	$1,452.40	$1,894.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,800.00 / $2,273.69	Facility		$597.00	$1,800.00	$2,273.69
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,405.26 / $1,530.00 / $3,375.94	Professional		$1,405.26	$1,530.00	$3,375.94
United Facility/Professional Professional Modifier Low / Median / High Price $756.22 / $1,364.22 / $2,079.59	Professional		$756.22	$1,364.22	$2,079.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,366.96 / $1,366.96 / $1,519.23	Facility		$1,366.96	$1,366.96	$1,519.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,366.96 / $1,366.96 / $1,452.40	Professional		$1,366.96	$1,366.96	$1,452.40