Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,030.85 / $1,269.90 / $1,269.90	Facility		$1,030.85	$1,269.90	$1,269.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,030.85 / $1,240.02 / $1,269.90	Professional		$1,030.85	$1,240.02	$1,269.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,245.00 / $1,245.00 / $1,269.90	Professional		$1,245.00	$1,245.00	$1,269.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $1,335.00 / $1,468.50	Facility		$1,335.00	$1,335.00	$1,468.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,335.00 / $1,335.00 / $1,335.00	Professional		$1,335.00	$1,335.00	$1,335.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.01 / $1,269.90 / $1,269.90	Facility		$309.01	$1,269.90	$1,269.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,269.90	Professional		$1,269.90	$1,269.90	$1,269.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $274.77 / $502.85 / $1,634.04	Facility		$274.77	$502.85	$1,634.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $302.26 / $1,361.70 / $1,361.70	Professional		$302.26	$1,361.70	$1,361.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,361.70 / $1,415.10 / $1,415.10	Facility		$1,361.70	$1,415.10	$1,415.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,361.70 / $1,361.70 / $1,415.10	Professional		$1,361.70	$1,361.70	$1,415.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $309.01 / $597.00 / $1,269.90	Facility		$309.01	$597.00	$1,269.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,269.90	Professional		$1,269.90	$1,269.90	$1,269.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,245.00 / $1,245.00 / $1,855.05	Professional		$1,245.00	$1,245.00	$1,855.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,361.70 / $1,361.70 / $1,361.70	Facility		$1,361.70	$1,361.70	$1,361.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,361.70 / $1,361.70 / $1,415.10	Professional		$1,361.70	$1,361.70	$1,415.10