Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,485.85 / $4,041.56 / $4,294.16	Facility		$3,485.85	$4,041.56	$4,294.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,485.85 / $4,193.12 / $4,294.16	Professional		$3,485.85	$4,193.12	$4,294.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,576.25 / $4,209.96 / $4,209.96	Professional		$3,576.25	$4,209.96	$4,209.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5,319.76 / $5,319.76 / $5,319.76	Facility		$5,319.76	$5,319.76	$5,319.76
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5,319.76 / $5,319.76 / $5,319.76	Professional		$5,319.76	$5,319.76	$5,319.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,757.21 / $3,869.93 / $4,294.16	Facility		$3,757.21	$3,869.93	$4,294.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Professional		$4,294.16	$4,294.16	$4,294.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $6,956.54	Facility		$4,294.16	$4,294.16	$6,956.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,650.04 / $4,294.16 / $4,294.16	Professional		$3,650.04	$4,294.16	$4,294.16
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,647.78 / $4,132.00 / $4,132.00	Facility		$3,647.78	$4,132.00	$4,132.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,647.78 / $4,132.00 / $4,132.00	Professional		$3,647.78	$4,132.00	$4,132.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,869.93 / $4,294.16	Facility		$597.00	$3,869.93	$4,294.16
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Professional		$4,294.16	$4,294.16	$4,294.16
United Facility/Professional Professional Modifier Low / Median / High Price $4,209.96 / $4,209.96 / $5,682.77	Professional		$4,209.96	$4,209.96	$5,682.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,647.78 / $3,647.78 / $3,647.78	Facility		$3,647.78	$3,647.78	$3,647.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,647.78 / $3,647.78 / $4,132.00	Professional		$3,647.78	$3,647.78	$4,132.00