Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,200.00 / $19,800.00 / $34,200.00	Facility		$10,200.00	$19,800.00	$34,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $998.09 / $1,900.00 / $12,000.00	Professional		$998.09	$1,900.00	$12,000.00
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 $1,719.62 / $4,800.00 / $16,320.00	Professional		$1,719.62	$4,800.00	$16,320.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $7,200.00 / $12,000.00 / $12,000.00	Facility		$7,200.00	$12,000.00	$12,000.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,970.00 / $12,000.00 / $12,000.00	Professional		$2,970.00	$12,000.00	$12,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,185.62 / $24,301.44 / $31,139.77	Facility		$6,185.62	$24,301.44	$31,139.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,230.06 / $16,240.56 / $57,840.00	Professional		$7,230.06	$16,240.56	$57,840.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $15,600.00 / $27,000.00	Facility		$319.00	$15,600.00	$27,000.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,520.00 / $9,600.00 / $21,960.00	Professional		$5,520.00	$9,600.00	$21,960.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,702.94 / $11,400.01 / $14,123.97	Professional		$7,702.94	$11,400.01	$14,123.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $25,350.00 / $31,139.77	Facility		$254.50	$25,350.00	$31,139.77
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $640.00 / $13,440.00 / $36,000.00	Professional		$640.00	$13,440.00	$36,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,040.00 / $7,200.00 / $18,186.96	Professional		$5,040.00	$7,200.00	$18,186.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $14.70 / $12,720.02 / $12,720.02	Facility		$14.70	$12,720.02	$12,720.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $7,515.60 / $11,400.01 / $14,123.97	Professional		$7,515.60	$11,400.01	$14,123.97