Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,711.10 / $6,158.07 / $11,038.00	Facility		$2,711.10	$6,158.07	$11,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,052.69 / $2,546.50 / $3,292.05	Professional		$2,052.69	$2,546.50	$3,292.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,873.00 / $3,873.00 / $10,069.79	Facility		$3,873.00	$3,873.00	$10,069.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,246.40 / $1,246.40 / $5,584.87	Professional		$1,246.40	$1,246.40	$5,584.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,873.00 / $3,873.00 / $3,873.00	Facility		$3,873.00	$3,873.00	$3,873.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,827.29 / $3,873.00 / $3,873.00	Professional		$2,827.29	$3,873.00	$3,873.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,647.60 / $7,843.50 / $10,050.62	Facility		$4,647.60	$7,843.50	$10,050.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,265.71 / $5,652.12 / $18,667.86	Professional		$2,265.71	$5,652.12	$18,667.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $4,647.60 / $8,714.25	Facility		$294.00	$4,647.60	$8,714.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,066.65 / $5,112.35 / $8,404.41	Professional		$4,066.65	$5,112.35	$8,404.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,292.05 / $3,825.11 / $7,022.89	Professional		$3,292.05	$3,825.11	$7,022.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,776.18 / $9,450.00 / $10,050.62	Facility		$3,776.18	$9,450.00	$10,050.62
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,517.44 / $4,221.57 / $8,907.90	Professional		$2,517.44	$4,221.57	$8,907.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $2,323.80 / $5,869.84	Professional		$1,626.66	$2,323.80	$5,869.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,873.00 / $4,453.85 / $4,453.85	Facility		$3,873.00	$4,453.85	$4,453.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,292.05 / $3,873.00 / $4,655.02	Professional		$3,292.05	$3,873.00	$4,655.02