Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,916.00 / $5,616.00 / $10,080.00	Facility		$2,916.00	$5,616.00	$10,080.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,962.00 / $3,060.00 / $3,600.00	Professional		$1,962.00	$3,060.00	$3,600.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $9,360.00	Facility		$3,600.00	$3,600.00	$9,360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,440.00 / $1,440.00 / $8,047.80	Professional		$1,440.00	$1,440.00	$8,047.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $3,600.00 / $3,600.00	Facility		$2,160.00	$3,600.00	$3,600.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,628.00 / $3,600.00 / $3,600.00	Professional		$2,628.00	$3,600.00	$3,600.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,320.00 / $7,605.00 / $9,341.65	Facility		$4,320.00	$7,605.00	$9,341.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,234.54 / $4,824.21 / $11,623.14	Professional		$2,234.54	$4,824.21	$11,623.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,600.00 / $8,100.00	Facility		$332.00	$3,600.00	$8,100.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,520.00 / $3,755.88 / $6,588.00	Professional		$2,520.00	$3,755.88	$6,588.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,060.00 / $3,600.00 / $6,527.86	Professional		$3,060.00	$3,600.00	$6,527.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $8,783.39 / $9,341.65	Facility		$254.50	$8,783.39	$9,341.65
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,240.19 / $4,635.00 / $10,800.00	Professional		$2,240.19	$4,635.00	$10,800.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.00 / $2,160.00 / $6,058.04	Professional		$1,512.00	$2,160.00	$6,058.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,816.01 / $3,816.01 / $5,015.74	Facility		$3,816.01	$3,816.01	$5,015.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,060.00 / $3,733.04 / $5,166.51	Professional		$3,060.00	$3,733.04	$5,166.51