Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,924.00 / $2,924.00 / $4,386.00	Facility		$2,924.00	$2,924.00	$4,386.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,521.94 / $2,924.00 / $3,106.75	Professional		$2,521.94	$2,924.00	$3,106.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,833.33 / $3,045.83 / $3,045.83	Professional		$2,833.33	$3,045.83	$3,045.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,833.33 / $2,833.33 / $3,116.66	Facility		$2,833.33	$2,833.33	$3,116.66
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,833.33 / $2,833.33 / $2,833.33	Professional		$2,833.33	$2,833.33	$2,833.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,976.70 / $3,066.00 / $3,066.00	Facility		$2,976.70	$3,066.00	$3,066.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,641.85 / $4,641.85 / $4,641.85	Professional		$4,641.85	$4,641.85	$4,641.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,106.75 / $3,106.75 / $5,032.93	Facility		$3,106.75	$3,106.75	$5,032.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,106.75 / $3,106.75 / $3,572.76	Professional		$3,106.75	$3,106.75	$3,572.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,045.71 / $3,228.58 / $3,228.58	Facility		$3,045.71	$3,228.58	$3,228.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,045.71 / $3,228.58 / $3,228.58	Professional		$3,045.71	$3,228.58	$3,228.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $3,066.00 / $74,999.25	Facility		$555.00	$3,066.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4,641.85 / $4,641.85 / $4,641.85	Professional		$4,641.85	$4,641.85	$4,641.85
United Facility/Professional Professional Modifier Low / Median / High Price $3,045.83 / $3,045.83 / $4,403.14	Professional		$3,045.83	$3,045.83	$4,403.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,045.71 / $3,045.71 / $3,045.71	Facility		$3,045.71	$3,045.71	$3,045.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,045.71 / $3,045.71 / $3,228.58	Professional		$3,045.71	$3,045.71	$3,228.58