Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.36 / $5,724.00 / $12,456.00	Facility		$2,511.36	$5,724.00	$12,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,908.00 / $2,367.00 / $3,060.00	Professional		$1,908.00	$2,367.00	$3,060.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $9,360.00	Facility		$3,600.00	$3,600.00	$9,360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,117.08 / $1,440.00 / $5,004.00	Professional		$1,117.08	$1,440.00	$5,004.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $3,600.00	Facility		$3,600.00	$3,600.00	$3,600.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,628.00 / $3,600.00 / $3,600.00	Professional		$2,628.00	$3,600.00	$3,600.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,320.00 / $7,605.00 / $12,959.43	Facility		$4,320.00	$7,605.00	$12,959.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,875.37 / $5,253.49 / $17,352.00	Professional		$1,875.37	$5,253.49	$17,352.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $4,320.00 / $8,100.00	Facility		$294.00	$4,320.00	$8,100.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,780.00 / $4,752.00 / $7,812.00	Professional		$3,780.00	$4,752.00	$7,812.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,060.00 / $3,555.49 / $6,527.86	Professional		$3,060.00	$3,555.49	$6,527.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $7,605.00 / $12,959.43	Facility		$597.00	$7,605.00	$12,959.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,340.00 / $3,888.00 / $8,280.00	Professional		$2,340.00	$3,888.00	$8,280.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.00 / $2,160.00 / $5,456.09	Professional		$1,512.00	$2,160.00	$5,456.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $4,139.91 / $4,139.91	Facility		$3,600.00	$4,139.91	$4,139.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,060.00 / $3,600.00 / $4,326.89	Professional		$3,060.00	$3,600.00	$4,326.89