Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $6,606.93 / $10,715.19	Facility		$3,548.13	$6,606.93	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,818.38 / $3,890.45	Professional		$2,570.40	$2,818.38	$3,890.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $9,120.11	Facility		$3,548.13	$3,548.13	$9,120.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $6,309.57	Professional		$1,148.15	$1,148.15	$6,309.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,548.13 / $3,548.13	Professional		$2,570.40	$3,548.13	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $7,585.78 / $9,120.11	Facility		$2,290.87	$7,585.78	$9,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $16,982.44 / $16,982.44	Professional		$1,862.09	$16,982.44	$16,982.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $5,754.40 / $13,489.63	Facility		$3,548.13	$5,754.40	$13,489.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $6,760.83	Professional		$1,659.59	$2,089.30	$6,760.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,311.31 / $3,981.07	Professional		$2,187.76	$3,311.31	$3,981.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $6,606.93 / $50,118.72	Facility		$4,570.88	$6,606.93	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,162.28 / $4,265.80	Facility		$2,089.30	$3,162.28	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $5,248.07	Professional		$1,479.11	$2,089.30	$5,248.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,548.13 / $4,073.80	Facility		$3,019.95	$3,548.13	$4,073.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,311.31 / $4,073.80	Professional		$2,137.96	$3,311.31	$4,073.80