Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,137.13 / $6,041.88 / $10,844.40	Facility		$3,137.13	$6,041.88	$10,844.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,110.79 / $3,075.00 / $5,344.74	Professional		$2,110.79	$3,075.00	$5,344.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,873.00 / $3,873.00 / $10,069.79	Facility		$3,873.00	$3,873.00	$10,069.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,549.20 / $2,122.40 / $8,326.95	Professional		$1,549.20	$2,122.40	$8,326.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,323.80 / $3,873.00 / $3,873.00	Facility		$2,323.80	$3,873.00	$3,873.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,827.29 / $3,873.00 / $3,873.00	Professional		$2,827.29	$3,873.00	$3,873.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,736.83 / $8,181.71 / $10,338.89	Facility		$4,736.83	$8,181.71	$10,338.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,333.56 / $5,030.42 / $12,505.27	Professional		$2,333.56	$5,030.42	$12,505.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,873.00 / $8,714.25	Facility		$332.00	$3,873.00	$8,714.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,711.10 / $4,066.65 / $7,087.59	Professional		$2,711.10	$4,066.65	$7,087.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,292.05 / $3,873.00 / $7,022.89	Professional		$3,292.05	$3,873.00	$7,022.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $8,181.71 / $10,338.89	Facility		$254.50	$8,181.71	$10,338.89
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,350.98 / $4,841.25 / $11,619.00	Professional		$2,350.98	$4,841.25	$11,619.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $2,130.15 / $5,809.50	Professional		$1,626.66	$2,130.15	$5,809.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,105.39 / $4,105.39 / $5,070.97	Facility		$4,105.39	$4,105.39	$5,070.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,292.05 / $3,892.69 / $5,515.38	Professional		$3,292.05	$3,892.69	$5,515.38