Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,623.41 / $9,120.11	Facility		$3,019.95	$5,623.41	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $2,818.38	Professional		$1,513.56	$1,995.26	$2,818.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $3,162.28 / $6,309.57	Professional		$0.03	$3,162.28	$6,309.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,235.94	Professional		$3,019.95	$3,019.95	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $6,456.54 / $7,762.47	Facility		$1,949.84	$6,456.54	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,365.16 / $14,454.40	Professional		$3,019.95	$4,365.16	$14,454.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $4,897.79 / $11,481.54	Facility		$3,019.95	$4,897.79	$11,481.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,073.80 / $5,888.44	Professional		$3,162.28	$4,073.80	$5,888.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,951.21 / $5,370.32	Professional		$2,570.40	$2,951.21	$5,370.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,623.41 / $50,118.72	Facility		$3,890.45	$5,623.41	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,090.30	Professional		$3,019.95	$3,019.95	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,019.95 / $3,630.78	Facility		$2,691.53	$3,019.95	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $3,981.07	Professional		$1,258.93	$1,819.70	$3,981.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,019.95 / $3,467.37	Facility		$2,570.40	$3,019.95	$3,467.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,019.95 / $5,888.44	Professional		$2,041.74	$3,019.95	$5,888.44