Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,542.24	Facility		$1,494.41	$1,494.41	$1,542.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,554.19	Professional		$1,494.41	$1,494.41	$1,554.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $2,785.54	Professional		$1,494.41	$1,494.41	$2,785.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,156.26 / $2,156.26 / $2,371.89	Facility		$2,156.26	$2,156.26	$2,371.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,156.26 / $2,156.26 / $2,156.26	Professional		$2,156.26	$2,156.26	$2,156.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,409.82 / $1,494.41 / $2,406.17	Facility		$1,409.82	$1,494.41	$2,406.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $2,114.73	Professional		$1,494.41	$1,494.41	$2,114.73
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,494.41 / $3,172.10	Facility		$319.00	$1,494.41	$3,172.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,823.18	Professional		$1,494.41	$1,494.41	$1,823.18
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,550.80	Facility		$1,494.41	$1,494.41	$1,550.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,550.80 / $1,550.80	Professional		$1,494.41	$1,550.80	$1,550.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,409.82 / $2,406.17	Facility		$597.00	$1,409.82	$2,406.17
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $2,185.15	Professional		$1,494.41	$1,494.41	$2,185.15
United Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $2,293.02	Professional		$1,494.41	$1,494.41	$2,293.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $947.89 / $1,550.80 / $1,550.80	Facility		$947.89	$1,550.80	$1,550.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,550.80 / $1,550.80	Professional		$1,494.41	$1,550.80	$1,550.80