Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,324.00 / $10,170.00	Facility		$2,009.00	$5,324.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,776.43 / $2,099.87 / $2,429.94	Professional		$1,776.43	$2,099.87	$2,429.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,196.00 / $11,909.00	Facility		$3,263.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,528.38 / $1,910.47 / $3,184.56	Professional		$1,528.38	$1,910.47	$3,184.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,890.00 / $4,106.50 / $12,319.50	Facility		$1,890.00	$4,106.50	$12,319.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,683.51 / $2,683.51 / $2,683.51	Facility		$2,683.51	$2,683.51	$2,683.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,605.25 / $3,139.95 / $7,718.16	Professional		$1,605.25	$3,139.95	$7,718.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,924.65 / $6,854.37	Facility		$319.00	$1,924.65	$6,854.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,991.55 / $4,494.67 / $9,251.53	Professional		$2,991.55	$4,494.67	$9,251.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,201.76 / $2,211.52 / $4,377.47	Professional		$1,201.76	$2,211.52	$4,377.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,683.51 / $2,683.51	Facility		$597.00	$2,683.51	$2,683.51
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,827.34 / $3,000.00 / $6,702.40	Professional		$1,827.34	$3,000.00	$6,702.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,248.00 / $11,200.00	Facility		$2,160.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,618.38 / $2,818.30 / $6,292.64	Professional		$1,618.38	$2,818.30	$6,292.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,543.30 / $2,543.30 / $6,131.08	Facility		$2,543.30	$2,543.30	$6,131.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,201.76 / $2,543.30 / $5,579.59	Professional		$1,201.76	$2,543.30	$5,579.59