Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,346.00 / $7,600.20 / $13,623.00	Facility		$3,346.00	$7,600.20	$13,623.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,533.40 / $3,142.85 / $4,063.00	Professional		$2,533.40	$3,142.85	$4,063.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,780.00 / $4,780.00 / $12,428.00	Facility		$4,780.00	$4,780.00	$12,428.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,824.00 / $3,824.00 / $10,190.95	Professional		$3,824.00	$3,824.00	$10,190.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,780.00 / $4,780.00 / $4,780.00	Facility		$4,780.00	$4,780.00	$4,780.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,489.40 / $4,780.00 / $4,780.00	Professional		$3,489.40	$4,780.00	$4,780.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,736.00 / $10,097.75 / $17,207.43	Facility		$5,736.00	$10,097.75	$17,207.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,824.00 / $6,975.46 / $23,039.60	Professional		$3,824.00	$6,975.46	$23,039.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $5,736.00 / $10,755.00	Facility		$294.00	$5,736.00	$10,755.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,019.00 / $6,309.60 / $10,372.60	Professional		$5,019.00	$6,309.60	$10,372.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,063.00 / $4,720.89 / $8,667.54	Professional		$4,063.00	$4,720.89	$8,667.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $10,097.75 / $17,207.43	Facility		$597.00	$10,097.75	$17,207.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,107.00 / $5,210.20 / $10,994.00	Professional		$3,107.00	$5,210.20	$10,994.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,007.60 / $2,868.00 / $7,503.88	Professional		$2,007.60	$2,868.00	$7,503.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,780.00 / $5,496.88 / $5,496.88	Facility		$4,780.00	$5,496.88	$5,496.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $4,063.00 / $4,780.00 / $5,745.16	Professional		$4,063.00	$4,780.00	$5,745.16