Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,063.00 / $7,887.00 / $13,623.00	Facility		$4,063.00	$7,887.00	$13,623.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $3,000.00 / $4,780.00	Professional		$1,000.00	$3,000.00	$4,780.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,780.00 / $4,780.00 / $12,428.00	Facility		$4,780.00	$4,780.00	$12,428.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,607.91 / $1,912.00 / $6,500.80	Professional		$1,607.91	$1,912.00	$6,500.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,868.00 / $4,780.00 / $4,780.00	Facility		$2,868.00	$4,780.00	$4,780.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,780.00 / $4,780.00 / $4,780.00	Professional		$4,780.00	$4,780.00	$4,780.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,340.11 / $9,680.02 / $12,403.94	Facility		$3,340.11	$9,680.02	$12,403.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,901.50 / $6,469.34 / $23,039.60	Professional		$2,901.50	$6,469.34	$23,039.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $6,214.00 / $10,755.00	Facility		$319.00	$6,214.00	$10,755.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,198.80 / $3,824.00 / $8,747.40	Professional		$2,198.80	$3,824.00	$8,747.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,161.31 / $4,541.00 / $5,626.05	Professional		$3,161.31	$4,541.00	$5,626.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $10,097.75 / $12,403.94	Facility		$555.00	$10,097.75	$12,403.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $640.00 / $5,353.60 / $14,340.00	Professional		$640.00	$5,353.60	$14,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,007.60 / $2,868.00 / $7,244.47	Professional		$2,007.60	$2,868.00	$7,244.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $5,066.81 / $5,066.81 / $5,066.81	Facility		$5,066.81	$5,066.81	$5,066.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,068.34 / $4,720.89 / $5,626.05	Professional		$3,068.34	$4,720.89	$5,626.05