Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,121.00 / $4,817.70 / $8,635.50	Facility		$2,121.00	$4,817.70	$8,635.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,605.90 / $1,992.23 / $3,110.00	Professional		$1,605.90	$1,992.23	$3,110.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $4,762.50	Professional		$1,500.00	$1,500.00	$4,762.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,030.00 / $3,030.00 / $3,030.00	Facility		$3,030.00	$3,030.00	$3,030.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,211.90 / $3,030.00 / $3,030.00	Professional		$2,211.90	$3,030.00	$3,030.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,636.00 / $6,400.88 / $7,863.03	Facility		$3,636.00	$6,400.88	$7,863.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,690.49 / $14,604.60 / $14,604.60	Professional		$3,690.49	$14,604.60	$14,604.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $3,636.00 / $6,817.50	Facility		$294.00	$3,636.00	$6,817.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,181.50 / $3,999.60 / $6,575.10	Professional		$3,181.50	$3,999.60	$6,575.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,575.50 / $3,030.00 / $5,494.28	Professional		$2,575.50	$3,030.00	$5,494.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $7,393.13 / $7,863.03	Facility		$2,777.00	$7,393.13	$7,863.03
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,969.50 / $2,272.50 / $6,969.00	Professional		$1,969.50	$2,272.50	$6,969.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,272.59 / $1,818.00 / $4,592.21	Professional		$1,272.59	$1,818.00	$4,592.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,030.00 / $3,484.43 / $3,484.43	Facility		$3,030.00	$3,484.43	$3,484.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,575.50 / $3,030.00 / $3,641.81	Professional		$2,575.50	$3,030.00	$3,641.81