Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,852.50 / $3,217.50 / $5,703.75	Facility		$1,852.50	$3,217.50	$5,703.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,170.00 / $1,657.50 / $1,657.50	Professional		$1,170.00	$1,657.50	$1,657.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $5,070.00	Facility		$1,950.00	$1,950.00	$5,070.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.33 / $325.33 / $2,485.67	Professional		$325.33	$325.33	$2,485.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $1,755.00 / $1,755.00	Facility		$1,755.00	$1,755.00	$1,755.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,281.15 / $1,755.00 / $1,755.00	Professional		$1,281.15	$1,755.00	$1,755.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,146.21 / $3,554.32 / $4,554.47	Facility		$2,146.21	$3,554.32	$4,554.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,560.00 / $2,845.47 / $9,399.00	Professional		$1,560.00	$2,845.47	$9,399.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $2,340.00 / $4,387.50	Facility		$294.00	$2,340.00	$4,387.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,047.50 / $2,574.00 / $4,231.50	Professional		$2,047.50	$2,574.00	$4,231.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,657.50 / $1,925.89 / $3,535.92	Professional		$1,657.50	$1,925.89	$3,535.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,901.25 / $4,282.31 / $4,685.10	Facility		$1,901.25	$4,282.31	$4,685.10
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,140.75 / $1,316.25 / $4,485.00	Professional		$1,140.75	$1,316.25	$4,485.00
United Facility/Professional Professional Modifier Low / Median / High Price $737.10 / $1,053.00 / $2,702.12	Professional		$737.10	$1,053.00	$2,702.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $2,242.44 / $2,242.44	Facility		$1,950.00	$2,242.44	$2,242.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,657.50 / $1,950.00 / $2,343.73	Professional		$1,657.50	$1,950.00	$2,343.73