Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,445.00 / $6,187.50 / $13,860.00	Facility		$5,445.00	$6,187.50	$13,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,332.02 / $1,507.95 / $2,136.26	Professional		$1,332.02	$1,507.95	$2,136.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.26 / $336.26 / $3,979.98	Professional		$336.26	$336.26	$3,979.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,513.25 / $2,513.25 / $2,513.25	Facility		$2,513.25	$2,513.25	$2,513.25
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,834.67 / $2,513.25 / $2,513.25	Professional		$1,834.67	$2,513.25	$2,513.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,089.80 / $5,940.00 / $6,132.29	Facility		$5,089.80	$5,940.00	$6,132.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,029.54 / $7,224.08 / $23,859.00	Professional		$6,029.54	$7,224.08	$23,859.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,197.50 / $6,484.50 / $12,177.00	Professional		$5,197.50	$6,484.50	$12,177.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,207.50 / $4,702.50 / $8,975.79	Professional		$4,207.50	$4,702.50	$8,975.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $5,940.00 / $5,940.00 / $6,132.29	Facility		$5,940.00	$5,940.00	$6,132.29
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,633.61 / $3,015.90 / $7,375.50	Professional		$1,633.61	$3,015.90	$7,375.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,055.57 / $1,507.95 / $3,755.78	Professional		$1,055.57	$1,507.95	$3,755.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $4,702.50 / $5,189.39 / $14,299.06	Professional		$4,702.50	$5,189.39	$14,299.06