Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,898.00 / $3,570.00 / $4,035.31	Facility		$2,898.00	$3,570.00	$4,035.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,898.00 / $3,570.00 / $3,956.19	Professional		$2,898.00	$3,570.00	$3,956.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $638.41 / $638.41 / $798.02	Facility		$638.41	$638.41	$798.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $3,570.00	Professional		$0.02	$0.03	$3,570.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5,292.06 / $5,292.06 / $5,292.06	Facility		$5,292.06	$5,292.06	$5,292.06
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5,292.06 / $5,292.06 / $5,292.06	Professional		$5,292.06	$5,292.06	$5,292.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,384.12 / $3,487.62 / $4,588.29	Facility		$3,384.12	$3,487.62	$4,588.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,384.12 / $3,384.12 / $3,384.12	Professional		$3,384.12	$3,384.12	$3,384.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,393.17 / $3,393.17 / $3,393.17	Facility		$3,393.17	$3,393.17	$3,393.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,507.91 / $2,950.48 / $3,570.00	Professional		$2,507.91	$2,950.48	$3,570.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,921.00 / $3,570.00 / $3,837.75	Professional		$1,921.00	$3,570.00	$3,837.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,487.62 / $4,588.29	Facility		$597.00	$3,487.62	$4,588.29
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,384.12 / $3,384.12 / $3,384.12	Professional		$3,384.12	$3,384.12	$3,384.12
United Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $4,200.00 / $5,669.33	Professional		$4,200.00	$4,200.00	$5,669.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,401.25 / $2,401.25 / $3,570.00	Facility		$2,401.25	$2,401.25	$3,570.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,401.25 / $3,570.00 / $3,837.75	Professional		$2,401.25	$3,570.00	$3,837.75