Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,043.72 / $4,642.16 / $8,320.86	Facility		$2,043.72	$4,642.16	$8,320.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,547.39 / $1,919.64 / $2,481.66	Professional		$1,547.39	$1,919.64	$2,481.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,167.83 / $1,167.83 / $3,941.46	Professional		$1,167.83	$1,167.83	$3,941.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,919.60 / $2,919.60 / $2,919.60	Facility		$2,919.60	$2,919.60	$2,919.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,131.31 / $2,919.60 / $2,919.60	Professional		$2,131.31	$2,919.60	$2,919.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,903.54 / $5,912.31 / $7,576.01	Facility		$2,903.54	$5,912.31	$7,576.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,335.67 / $4,260.59 / $14,072.47	Professional		$2,335.67	$4,260.59	$14,072.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $3,503.52 / $6,569.10	Facility		$294.00	$3,503.52	$6,569.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,065.58 / $3,853.87 / $6,335.53	Professional		$3,065.58	$3,853.87	$6,335.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,481.66 / $2,883.50 / $5,294.09	Professional		$2,481.66	$2,883.50	$5,294.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,846.61 / $7,123.27 / $7,576.01	Facility		$2,846.61	$7,123.27	$7,576.01
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,897.74 / $2,189.69 / $6,715.08	Professional		$1,897.74	$2,189.69	$6,715.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,751.76 / $4,583.33	Professional		$1,226.23	$1,751.76	$4,583.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,919.60 / $3,357.47 / $3,357.47	Facility		$2,919.60	$3,357.47	$3,357.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,481.66 / $2,919.60 / $3,509.12	Professional		$2,481.66	$2,919.60	$3,509.12