Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $2,784.38 / $2,812.22	Facility		$530.00	$2,784.38	$2,812.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,895.75	Professional		$2,784.38	$2,784.38	$2,895.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.91 / $2,784.38 / $2,784.38	Professional		$92.91	$2,784.38	$2,784.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $95.94 / $95.94 / $100.74	Facility		$95.94	$95.94	$100.74
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $95.94 / $95.94 / $95.94	Professional		$95.94	$95.94	$95.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.55 / $215.14 / $2,626.77	Facility		$101.55	$215.14	$2,626.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,784.38	Professional		$2,784.38	$2,784.38	$2,784.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,020.79 / $5,910.23	Facility		$319.00	$3,020.79	$5,910.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,889.45 / $3,020.79 / $5,214.14	Professional		$2,889.45	$3,020.79	$5,214.14
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,889.45	Facility		$2,784.38	$2,784.38	$2,889.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,889.45 / $2,889.45	Professional		$2,784.38	$2,889.45	$2,889.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $101.55 / $555.00 / $2,626.77	Facility		$101.55	$555.00	$2,626.77
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $122.43 / $2,784.38 / $2,784.38	Professional		$122.43	$2,784.38	$2,784.38
United Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $4,176.57	Professional		$2,784.38	$2,784.38	$4,176.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,889.45 / $2,889.45 / $2,889.45	Facility		$2,889.45	$2,889.45	$2,889.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,889.45 / $2,889.45	Professional		$2,784.38	$2,889.45	$2,889.45