Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $4,265.80 / $6,918.31	Facility		$1,949.84	$4,265.80	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $2,187.76	Professional		$1,230.27	$1,778.28	$2,187.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $2,630.27	Professional		$794.33	$794.33	$2,630.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $2,290.87	Professional		$1,659.59	$2,290.87	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $4,897.79 / $5,888.44	Facility		$1,479.11	$4,897.79	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $10,964.78 / $10,964.78	Professional		$2,290.87	$10,964.78	$10,964.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,801.89 / $8,709.64	Facility		$2,290.87	$3,801.89	$8,709.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,818.38 / $4,466.84	Professional		$1,584.89	$2,818.38	$4,466.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,238.72 / $4,073.80	Professional		$1,949.84	$2,238.72	$4,073.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,265.80 / $50,118.72	Facility		$2,951.21	$4,265.80	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,344.23	Professional		$2,290.87	$2,290.87	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,290.87 / $2,754.23	Facility		$2,041.74	$2,290.87	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $3,019.95	Professional		$954.99	$1,380.38	$3,019.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $2,630.27	Facility		$1,949.84	$2,290.87	$2,630.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,290.87 / $4,466.84	Professional		$1,548.82	$2,290.87	$4,466.84