Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,037.50 / $5,850.00 / $10,500.00	Facility		$3,037.50	$5,850.00	$10,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,591.56 / $2,925.00 / $5,175.00	Professional		$1,591.56	$2,925.00	$5,175.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,750.00 / $3,750.00 / $9,750.00	Facility		$3,750.00	$3,750.00	$9,750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,912.50 / $5,662.50	Professional		$1,500.00	$1,912.50	$5,662.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,250.00 / $3,750.00 / $3,750.00	Facility		$2,250.00	$3,750.00	$3,750.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,737.50 / $3,750.00 / $3,750.00	Professional		$2,737.50	$3,750.00	$3,750.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,586.16 / $7,921.88 / $10,010.09	Facility		$4,586.16	$7,921.88	$10,010.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,276.29 / $5,075.06 / $12,169.00	Professional		$2,276.29	$5,075.06	$12,169.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,250.52 / $8,437.50	Facility		$332.00	$1,250.52	$8,437.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,625.00 / $3,937.50 / $6,862.50	Professional		$2,625.00	$3,937.50	$6,862.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,944.22 / $3,562.50 / $6,799.85	Professional		$2,944.22	$3,562.50	$6,799.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $7,921.88 / $10,010.09	Facility		$254.50	$7,921.88	$10,010.09
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,259.42 / $3,796.39 / $11,250.00	Professional		$2,259.42	$3,796.39	$11,250.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,575.00 / $2,250.00 / $6,007.50	Professional		$1,575.00	$2,250.00	$6,007.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,921.10 / $3,975.01 / $3,975.01	Facility		$3,921.10	$3,975.01	$3,975.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,187.50 / $3,750.00 / $4,437.77	Professional		$3,187.50	$3,750.00	$4,437.77