Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $6,918.31 / $10,964.78	Facility		$3,090.30	$6,918.31	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,884.03 / $3,548.13	Professional		$1,995.26	$2,884.03	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $3,981.07	Professional		$208.93	$208.93	$3,981.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,715.35 / $3,715.35	Professional		$2,691.53	$3,715.35	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $13,803.84	Facility		$2,398.83	$5,888.44	$13,803.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $5,370.32 / $17,782.79	Professional		$3,715.35	$5,370.32	$17,782.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,025.60 / $14,125.38	Facility		$3,715.35	$6,025.60	$14,125.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,011.87 / $7,079.46	Professional		$3,890.45	$5,011.87	$7,079.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $6,606.93	Professional		$3,090.30	$3,630.78	$6,606.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $6,918.31 / $50,118.72	Facility		$4,786.30	$6,918.31	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,801.89	Professional		$3,715.35	$3,715.35	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,715.35 / $4,365.16	Facility		$3,311.31	$3,715.35	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $4,897.79	Professional		$1,548.82	$2,187.76	$4,897.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,715.35 / $4,265.80	Facility		$3,090.30	$3,715.35	$4,265.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,715.35 / $7,244.36	Professional		$2,511.89	$3,715.35	$7,244.36