Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,276.20 / $3,276.20 / $4,200.92	Facility		$3,276.20	$3,276.20	$4,200.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,276.20 / $4,200.92 / $5,991.04	Professional		$3,276.20	$4,200.92	$5,991.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,327.68 / $4,327.68 / $7,651.30	Professional		$4,327.68	$4,327.68	$7,651.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $615.44 / $615.44 / $8,000.72	Facility		$615.44	$615.44	$8,000.72
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $615.44 / $615.44 / $8,000.72	Professional		$615.44	$615.44	$8,000.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $3,344.98 / $6,495.00	Professional		$200.00	$3,344.98	$6,495.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,931.60 / $4,914.50 / $4,914.50	Professional		$3,931.60	$4,914.50	$4,914.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,914.50 / $4,914.50 / $4,914.50	Facility		$4,914.50	$4,914.50	$4,914.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,914.50 / $5,837.99 / $6,202.86	Professional		$4,914.50	$5,837.99	$6,202.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $74,999.25	Facility		$200.00	$200.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $500.36 / $6,495.00	Professional		$200.00	$500.36	$6,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,132.10 / $3,170.00 / $5,320.88	Professional		$2,132.10	$3,170.00	$5,320.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,057.64 / $5,837.99 / $5,837.99	Facility		$4,057.64	$5,837.99	$5,837.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $4,914.50 / $5,837.99 / $6,202.86	Professional		$4,914.50	$5,837.99	$6,202.86