Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,754.40 / $9,120.11	Facility		$2,570.40	$5,754.40	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,344.23 / $2,951.21	Professional		$1,659.59	$2,344.23	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $4,466.84	Professional		$1,513.56	$1,513.56	$4,466.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,019.95 / $3,019.95	Professional		$2,187.76	$3,019.95	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $6,456.54 / $7,943.28	Facility		$1,949.84	$6,456.54	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $14,454.40 / $14,454.40	Professional		$3,019.95	$14,454.40	$14,454.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,011.87 / $11,748.98	Facility		$3,019.95	$5,011.87	$11,748.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,073.80 / $5,888.44	Professional		$3,162.28	$4,073.80	$5,888.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,019.95 / $5,370.32	Professional		$2,511.89	$3,019.95	$5,370.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $5,754.40 / $50,118.72	Facility		$3,981.07	$5,754.40	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,090.30	Professional		$3,019.95	$3,019.95	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,019.95 / $3,630.78	Facility		$2,754.23	$3,019.95	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $3,981.07	Professional		$1,258.93	$1,819.70	$3,981.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,019.95 / $3,467.37	Facility		$1,819.70	$3,019.95	$3,467.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,019.95 / $6,025.60	Professional		$2,511.89	$3,019.95	$6,025.60