Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $6,165.95 / $9,772.37	Facility		$2,754.23	$6,165.95	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $3,630.78	Professional		$1,949.84	$2,570.40	$3,630.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $4,265.80	Professional		$1,288.25	$1,288.25	$4,265.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,235.94 / $3,235.94	Professional		$2,344.23	$3,235.94	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $6,918.31 / $8,317.64	Facility		$2,089.30	$6,918.31	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,677.35 / $15,488.17	Professional		$3,235.94	$4,677.35	$15,488.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,370.32 / $12,302.69	Facility		$3,235.94	$5,370.32	$12,302.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,365.16 / $6,309.57	Professional		$3,388.44	$4,365.16	$6,309.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,235.94 / $5,754.40	Professional		$2,754.23	$3,235.94	$5,754.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $6,165.95 / $50,118.72	Facility		$4,168.69	$6,165.95	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,311.31	Professional		$3,235.94	$3,235.94	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,235.94 / $3,890.45	Facility		$2,884.03	$3,235.94	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $4,265.80	Professional		$1,348.96	$1,949.84	$4,265.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,235.94 / $3,715.35	Facility		$2,754.23	$3,235.94	$3,715.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,235.94 / $6,456.54	Professional		$2,187.76	$3,235.94	$6,456.54