Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,639.89 / $4,220.17 / $4,483.93	Facility		$3,639.89	$4,220.17	$4,483.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,639.89 / $4,378.42 / $4,483.93	Professional		$3,639.89	$4,378.42	$4,483.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $5,011.45	Professional		$0.02	$0.03	$5,011.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,370.76 / $1,370.76 / $1,370.76	Facility		$1,370.76	$1,370.76	$1,370.76
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,370.76 / $1,370.76 / $1,370.76	Professional		$1,370.76	$1,370.76	$1,370.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,518.98 / $4,757.00 / $4,757.00	Facility		$2,518.98	$4,757.00	$4,757.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $4,483.93	Professional		$4,483.93	$4,483.93	$4,483.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,004.42 / $6,725.90	Facility		$319.00	$3,004.42	$6,725.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,811.34 / $4,483.93 / $4,483.93	Professional		$3,811.34	$4,483.93	$4,483.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,193.12 / $3,193.12 / $3,193.12	Professional		$3,193.12	$3,193.12	$3,193.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $4,618.45 / $4,757.00	Facility		$597.00	$4,618.45	$4,757.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $4,483.93	Professional		$4,483.93	$4,483.93	$4,483.93
United Facility/Professional Professional Modifier Low / Median / High Price $5,275.21 / $5,275.21 / $7,425.44	Professional		$5,275.21	$5,275.21	$7,425.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,193.12 / $3,193.12 / $3,193.12	Facility		$3,193.12	$3,193.12	$3,193.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,193.12 / $3,193.12 / $3,193.12	Professional		$3,193.12	$3,193.12	$3,193.12