Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,648.60 / $4,860.96 / $8,724.79	Facility		$2,648.60	$4,860.96	$8,724.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.58 / $2,648.60 / $4,674.00	Professional		$320.58	$2,648.60	$4,674.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,116.00 / $3,116.00 / $8,101.60	Facility		$3,116.00	$3,116.00	$8,101.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,246.40 / $1,589.16 / $5,010.22	Professional		$1,246.40	$1,589.16	$5,010.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,869.60 / $3,116.00 / $3,116.00	Facility		$1,869.60	$3,116.00	$3,116.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,274.67 / $3,116.00 / $3,116.00	Professional		$2,274.67	$3,116.00	$3,116.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,810.80 / $6,582.55 / $8,317.69	Facility		$3,810.80	$6,582.55	$8,317.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,891.40 / $4,791.67 / $10,111.83	Professional		$1,891.40	$4,791.67	$10,111.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,324.68 / $7,011.00	Facility		$332.00	$1,324.68	$7,011.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,181.19 / $3,271.80 / $5,702.28	Professional		$2,181.19	$3,271.80	$5,702.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,648.60 / $3,116.00 / $5,650.22	Professional		$2,648.60	$3,116.00	$5,650.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $6,582.55 / $8,317.69	Facility		$254.50	$6,582.55	$8,317.69
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,877.47 / $3,754.93 / $9,348.00	Professional		$1,877.47	$3,754.93	$9,348.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,308.72 / $1,869.60 / $4,722.55	Professional		$1,308.72	$1,869.60	$4,722.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,302.97 / $3,302.97 / $4,243.62	Facility		$3,302.97	$3,302.97	$4,243.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,648.60 / $3,151.33 / $4,749.96	Professional		$2,648.60	$3,151.33	$4,749.96