Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,495.41 / $8,709.64	Facility		$2,454.71	$5,495.41	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,344.23 / $2,754.23	Professional		$1,584.89	$2,344.23	$2,754.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $3,801.89	Professional		$1,174.90	$1,174.90	$3,801.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $2,884.03	Professional		$2,137.96	$2,884.03	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $6,165.95 / $7,585.78	Facility		$1,905.46	$6,165.95	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,265.80 / $14,125.38	Professional		$2,884.03	$4,265.80	$14,125.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,786.30 / $11,220.18	Facility		$2,884.03	$4,786.30	$11,220.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $5,623.41	Professional		$3,090.30	$3,981.07	$5,623.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $5,248.07	Professional		$2,454.71	$2,884.03	$5,248.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,495.41 / $50,118.72	Facility		$3,801.89	$5,495.41	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,019.95	Professional		$2,884.03	$2,884.03	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,884.03 / $3,467.37	Facility		$2,630.27	$2,884.03	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $3,890.45	Professional		$1,230.27	$1,737.80	$3,890.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $3,388.44	Facility		$2,454.71	$2,884.03	$3,388.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,884.03 / $5,754.40	Professional		$1,995.26	$2,884.03	$5,754.40