Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.00 / $6,050.00 / $10,686.00	Facility		$2,220.00	$6,050.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,432.38 / $5,264.11 / $6,832.95	Professional		$3,432.38	$5,264.11	$6,832.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,160.00 / $11,809.00	Facility		$3,283.00	$5,160.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $4,308.99	Professional		$0.02	$0.03	$4,308.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5,688.61 / $5,688.61 / $5,688.61	Facility		$5,688.61	$5,688.61	$5,688.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5,688.61 / $5,688.61 / $5,688.61	Professional		$5,688.61	$5,688.61	$5,688.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,697.63 / $4,697.63 / $7,227.90	Facility		$4,697.63	$4,697.63	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,195.05 / $7,546.20 / $19,468.50	Professional		$3,195.05	$7,546.20	$19,468.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8,640.00 / $8,640.00 / $8,640.00	Facility		$8,640.00	$8,640.00	$8,640.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,072.29 / $4,691.08 / $8,754.96	Professional		$3,072.29	$4,691.08	$8,754.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $4,697.63 / $7,227.90	Facility		$555.00	$4,697.63	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,758.89 / $8,715.24 / $20,022.97	Professional		$3,758.89	$8,715.24	$20,022.97
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 $4,070.37 / $5,557.75 / $10,582.93	Professional		$4,070.37	$5,557.75	$10,582.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $5,518.92 / $5,518.92 / $5,518.92	Facility		$5,518.92	$5,518.92	$5,518.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,072.29 / $4,944.82 / $13,114.27	Professional		$3,072.29	$4,944.82	$13,114.27