Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,709.95 / $4,471.42 / $7,723.36	Facility		$2,709.95	$4,471.42	$7,723.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,355.00 / $2,710.00 / $6,530.98	Professional		$1,355.00	$2,710.00	$6,530.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $846.27 / $3,741.09	Professional		$846.27	$846.27	$3,741.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,625.97 / $2,709.95 / $2,709.95	Facility		$1,625.97	$2,709.95	$2,709.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,709.95 / $2,709.95 / $2,709.95	Professional		$2,709.95	$2,709.95	$2,709.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,251.94 / $5,487.62 / $7,031.81	Facility		$3,251.94	$5,487.62	$7,031.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,644.95 / $3,943.17 / $13,061.96	Professional		$1,644.95	$3,943.17	$13,061.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,522.94 / $6,097.39	Facility		$319.00	$3,522.94	$6,097.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,896.97 / $2,827.29 / $4,959.21	Professional		$1,896.97	$2,827.29	$4,959.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,303.46 / $2,676.44 / $4,913.93	Professional		$2,303.46	$2,676.44	$4,913.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $5,724.78 / $7,031.81	Facility		$254.50	$5,724.78	$7,031.81
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $640.00 / $3,265.28 / $8,129.85	Professional		$640.00	$3,265.28	$8,129.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,138.18 / $1,625.97 / $4,107.14	Professional		$1,138.18	$1,625.97	$4,107.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,872.55 / $2,872.55 / $3,449.16	Facility		$2,872.55	$2,872.55	$3,449.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,303.46 / $2,709.95 / $3,715.37	Professional		$2,303.46	$2,709.95	$3,715.37