Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,572.50 / $5,843.25 / $10,473.79	Facility		$2,572.50	$5,843.25	$10,473.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,947.75 / $2,205.00 / $3,123.75	Professional		$1,947.75	$2,205.00	$3,123.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $208.00 / $4,357.45	Professional		$208.00	$208.00	$4,357.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,675.00 / $3,675.00 / $3,675.00	Facility		$3,675.00	$3,675.00	$3,675.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,682.75 / $3,675.00 / $3,675.00	Professional		$2,682.75	$3,675.00	$3,675.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,410.00 / $7,763.44 / $13,229.59	Facility		$4,410.00	$7,763.44	$13,229.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,940.00 / $5,363.11 / $17,713.50	Professional		$2,940.00	$5,363.11	$17,713.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $4,410.00 / $8,268.75	Facility		$294.00	$4,410.00	$8,268.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,858.75 / $4,814.25 / $7,974.75	Professional		$3,858.75	$4,814.25	$7,974.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,123.75 / $3,629.56 / $6,663.85	Professional		$3,123.75	$3,629.56	$6,663.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $7,763.44 / $13,229.59	Facility		$597.00	$7,763.44	$13,229.59
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,388.75 / $2,756.25 / $8,452.50	Professional		$2,388.75	$2,756.25	$8,452.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,543.50 / $2,205.00 / $5,512.50	Professional		$1,543.50	$2,205.00	$5,512.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,675.00 / $4,226.16 / $4,226.16	Facility		$3,675.00	$4,226.16	$4,226.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,123.75 / $3,675.00 / $4,417.04	Professional		$3,123.75	$3,675.00	$4,417.04