Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,520.00 / $6,300.80 / $10,032.00	Facility		$3,520.00	$6,300.80	$10,032.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,308.47 / $4,857.60 / $9,680.00	Professional		$4,308.47	$4,857.60	$9,680.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,520.00 / $3,520.00 / $9,152.00	Facility		$3,520.00	$3,520.00	$9,152.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.68 / $1,148.40 / $5,315.20	Professional		$163.68	$1,148.40	$5,315.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,520.00 / $3,520.00 / $3,520.00	Facility		$3,520.00	$3,520.00	$3,520.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,569.60 / $3,520.00 / $3,520.00	Professional		$2,569.60	$3,520.00	$3,520.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,459.67 / $7,128.41 / $9,134.31	Facility		$2,459.67	$7,128.41	$9,134.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,875.37 / $5,056.14 / $16,966.40	Professional		$1,875.37	$5,056.14	$16,966.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,576.00 / $7,920.00	Facility		$319.00	$4,576.00	$7,920.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,408.00 / $2,076.80 / $6,582.40	Professional		$1,408.00	$2,076.80	$6,582.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,204.58 / $3,344.00 / $3,953.31	Professional		$2,204.58	$3,344.00	$3,953.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,459.67 / $7,436.00 / $9,134.31	Facility		$2,459.67	$7,436.00	$9,134.31
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,288.00 / $2,640.00 / $7,251.20	Professional		$2,288.00	$2,640.00	$7,251.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,478.40 / $2,112.00 / $6,226.32	Professional		$1,478.40	$2,112.00	$6,226.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,520.00 / $4,047.91 / $4,047.91	Facility		$3,520.00	$4,047.91	$4,047.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,204.58 / $3,344.00 / $4,230.75	Professional		$2,204.58	$3,344.00	$4,230.75