Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.59 / $1,146.47 / $1,437.92	Professional		$638.59	$1,146.47	$1,437.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,846.30 / $3,415.55 / $3,795.06	Facility		$2,846.30	$3,415.55	$3,795.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,547.15 / $2,310.00 / $3,964.31	Professional		$1,547.15	$2,310.00	$3,964.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,470.26 / $1,580.92 / $1,580.92	Facility		$1,470.26	$1,580.92	$1,580.92
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,580.92 / $1,580.92 / $1,580.92	Professional		$1,580.92	$1,580.92	$1,580.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,014.52 / $2,014.52 / $2,014.52	Facility		$2,014.52	$2,014.52	$2,014.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $742.34 / $742.34 / $742.34	Professional		$742.34	$742.34	$742.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,992.41 / $2,485.76 / $4,117.64	Professional		$1,992.41	$2,485.76	$4,117.64
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,086.48 / $1,086.48 / $1,086.48	Facility		$1,086.48	$1,086.48	$1,086.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,086.48 / $1,212.10 / $1,945.71	Professional		$1,086.48	$1,212.10	$1,945.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $2,014.52	Facility		$555.00	$597.00	$2,014.52
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $742.34 / $742.34 / $3,282.88	Professional		$742.34	$742.34	$3,282.88
United Facility/Professional Professional Modifier Low / Median / High Price $631.10 / $946.66 / $1,627.51	Professional		$631.10	$946.66	$1,627.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,086.48 / $1,212.10 / $1,945.71	Professional		$1,086.48	$1,212.10	$1,945.71