Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,916.60 / $4,958.22 / $8,312.31	Facility		$2,916.60	$4,958.22	$8,312.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,916.60 / $4,549.89 / $9,478.95	Professional		$2,916.60	$4,549.89	$9,478.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,167.83 / $1,167.83 / $3,937.41	Professional		$1,167.83	$1,167.83	$3,937.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,916.60 / $2,916.60 / $2,916.60	Facility		$2,916.60	$2,916.60	$2,916.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,129.12 / $2,916.60 / $2,916.60	Professional		$2,129.12	$2,916.60	$2,916.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,900.56 / $5,906.65 / $7,568.76	Facility		$2,900.56	$5,906.65	$7,568.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,333.28 / $4,256.39 / $14,058.01	Professional		$2,333.28	$4,256.39	$14,058.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $3,499.92 / $6,562.35	Facility		$294.00	$3,499.92	$6,562.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,062.43 / $3,849.91 / $6,329.02	Professional		$3,062.43	$3,849.91	$6,329.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,479.11 / $2,880.54 / $5,288.65	Professional		$2,479.11	$2,880.54	$5,288.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,843.69 / $7,116.44 / $7,568.76	Facility		$2,843.69	$7,116.44	$7,568.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,895.79 / $2,187.44 / $6,708.18	Professional		$1,895.79	$2,187.44	$6,708.18
United Facility/Professional Professional Modifier Low / Median / High Price $1,224.97 / $1,749.96 / $6,135.04	Professional		$1,224.97	$1,749.96	$6,135.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,916.60 / $3,354.02 / $3,354.02	Facility		$2,916.60	$3,354.02	$3,354.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,479.11 / $2,916.60 / $3,505.51	Professional		$2,479.11	$2,916.60	$3,505.51