Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,817.98 / $4,648.00 / $9,868.00	Facility		$1,817.98	$4,648.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,052.70 / $1,611.75 / $1,828.96	Professional		$1,052.70	$1,611.75	$1,828.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,572.41 / $6,602.78 / $13,164.82	Professional		$5,572.41	$6,602.78	$13,164.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,075.63 / $2,075.63 / $13,477.50	Facility		$2,075.63	$2,075.63	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,075.63 / $2,075.63 / $2,075.63	Professional		$2,075.63	$2,075.63	$2,075.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,647.62 / $1,647.62 / $7,227.90	Facility		$1,647.62	$1,647.62	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,480.18 / $6,860.07 / $6,860.07	Professional		$1,480.18	$6,860.07	$6,860.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,349.96 / $2,349.96 / $2,349.96	Professional		$2,349.96	$2,349.96	$2,349.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,353.19 / $2,124.51 / $2,921.41	Professional		$1,353.19	$2,124.51	$2,921.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,647.62 / $7,227.90	Facility		$555.00	$1,647.62	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,480.18 / $6,860.07 / $6,860.07	Professional		$1,480.18	$6,860.07	$6,860.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,254.80 / $1,899.52 / $4,685.29	Professional		$1,254.80	$1,899.52	$4,685.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,392.57 / $1,392.57 / $1,392.57	Facility		$1,392.57	$1,392.57	$1,392.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,392.57 / $1,769.43 / $2,921.41	Professional		$1,392.57	$1,769.43	$2,921.41