Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,337.65 / $3,716.86 / $6,545.42	Facility		$2,337.65	$3,716.86	$6,545.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,337.65 / $2,711.67 / $5,774.00	Professional		$2,337.65	$2,711.67	$5,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.14 / $423.14 / $3,154.89	Professional		$423.14	$423.14	$3,154.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,402.59 / $2,337.65 / $2,337.65	Facility		$1,402.59	$2,337.65	$2,337.65
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,706.48 / $2,337.65 / $2,337.65	Professional		$1,706.48	$2,337.65	$2,337.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,805.18 / $4,733.66 / $6,065.70	Facility		$2,805.18	$4,733.66	$6,065.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,418.88 / $3,401.44 / $11,267.47	Professional		$1,418.88	$3,401.44	$11,267.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,038.95 / $5,259.71	Facility		$319.00	$3,038.95	$5,259.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,636.36 / $2,438.87 / $4,277.89	Professional		$1,636.36	$2,438.87	$4,277.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,987.00 / $2,308.73 / $4,238.84	Professional		$1,987.00	$2,308.73	$4,238.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $4,938.28 / $6,065.70	Facility		$254.50	$4,938.28	$6,065.70
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $640.00 / $2,816.68 / $7,012.95	Professional		$640.00	$2,816.68	$7,012.95
United Facility/Professional Professional Modifier Low / Median / High Price $981.81 / $1,402.59 / $4,102.34	Professional		$981.81	$1,402.59	$4,102.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,477.91 / $2,477.91 / $3,027.63	Facility		$2,477.91	$2,477.91	$3,027.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,987.00 / $2,337.65 / $3,204.94	Professional		$1,987.00	$2,337.65	$3,204.94