Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,316.40 / $5,845.00 / $12,051.00	Facility		$2,316.40	$5,845.00	$12,051.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,985.62 / $2,346.98 / $2,716.14	Professional		$1,985.62	$2,346.98	$2,716.14
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 $1,708.19 / $2,135.23 / $3,559.09	Professional		$1,708.19	$2,135.23	$3,559.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,589.00 / $4,106.50 / $12,319.50	Facility		$2,589.00	$4,106.50	$12,319.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,998.72 / $2,998.72 / $2,998.72	Facility		$2,998.72	$2,998.72	$2,998.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,794.10 / $3,509.52 / $8,625.41	Professional		$1,794.10	$3,509.52	$8,625.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,132.55 / $7,595.40	Facility		$319.00	$2,132.55	$7,595.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,150.49 / $5,044.92 / $10,251.70	Professional		$4,150.49	$5,044.92	$10,251.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,977.38 / $2,471.71 / $4,891.66	Professional		$1,977.38	$2,471.71	$4,891.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,998.72 / $2,998.72	Facility		$597.00	$2,998.72	$2,998.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,042.55 / $3,346.86 / $7,489.77	Professional		$2,042.55	$3,346.86	$7,489.77
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 $1,785.35 / $3,121.28 / $6,754.89	Professional		$1,785.35	$3,121.28	$6,754.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,842.04 / $2,842.04 / $4,884.92	Facility		$2,842.04	$2,842.04	$4,884.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,977.38 / $2,842.04 / $6,234.97	Professional		$1,977.38	$2,842.04	$6,234.97