Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,066.65 / $2,545.87 / $4,432.80	Facility		$2,066.65	$2,545.87	$4,432.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,066.65 / $2,485.96 / $2,545.87	Professional		$2,066.65	$2,485.96	$2,545.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $277.56 / $277.56 / $346.95	Facility		$277.56	$277.56	$346.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $711.24 / $2,495.94 / $2,495.94	Professional		$711.24	$2,495.94	$2,495.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,495.94 / $2,495.94 / $2,745.55	Facility		$2,495.94	$2,495.94	$2,745.55
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,495.94 / $2,495.94 / $2,495.94	Professional		$2,495.94	$2,495.94	$2,495.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $368.08 / $2,545.87 / $2,545.87	Facility		$368.08	$2,545.87	$2,545.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,545.87 / $2,545.87 / $2,545.87	Professional		$2,545.87	$2,545.87	$2,545.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $589.16 / $3,055.04	Facility		$319.00	$589.16	$3,055.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $398.99 / $2,545.87 / $2,545.87	Professional		$398.99	$2,545.87	$2,545.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.22 / $341.40 / $344.00	Professional		$339.22	$341.40	$344.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $368.08 / $2,545.87 / $2,545.87	Facility		$368.08	$2,545.87	$2,545.87
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,545.87 / $2,545.87 / $2,545.87	Professional		$2,545.87	$2,545.87	$2,545.87
United Facility/Professional Professional Modifier Low / Median / High Price $2,495.94 / $2,645.71 / $3,344.57	Professional		$2,495.94	$2,645.71	$3,344.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $326.13 / $326.13 / $342.92	Facility		$326.13	$326.13	$342.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $339.22 / $344.00 / $344.00	Professional		$339.22	$344.00	$344.00