Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,559.00 / $6,007.36 / $10,686.00	Facility		$2,559.00	$6,007.36	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,426.93 / $6,239.21 / $11,801.50	Professional		$4,426.93	$6,239.21	$11,801.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,032.41 / $5,271.13 / $11,228.59	Professional		$4,032.41	$5,271.13	$11,228.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $6,870.02 / $6,870.02 / $37,499.62	Facility		$6,870.02	$6,870.02	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $6,870.02 / $6,870.02 / $6,870.02	Professional		$6,870.02	$6,870.02	$6,870.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,980.30 / $5,980.30 / $5,980.30	Professional		$5,980.30	$5,980.30	$5,980.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $6,709.00 / $12,820.46	Facility		$319.00	$6,709.00	$12,820.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,128.18 / $6,837.58 / $9,857.51	Professional		$5,128.18	$6,837.58	$9,857.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,382.30 / $4,624.55 / $7,853.27	Professional		$2,382.30	$4,624.55	$7,853.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4,392.51 / $7,247.70 / $13,599.63	Professional		$4,392.51	$7,247.70	$13,599.63
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 $4,392.57 / $6,287.04 / $14,866.48	Professional		$4,392.57	$6,287.04	$14,866.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $6,057.05 / $6,057.05 / $13,451.56	Facility		$6,057.05	$6,057.05	$13,451.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,382.30 / $6,057.05 / $11,109.83	Professional		$2,382.30	$6,057.05	$11,109.83