Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,678.89 / $4,678.89 / $7,252.30	Facility		$4,678.89	$4,678.89	$7,252.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,035.55 / $4,854.35 / $4,971.34	Professional		$4,035.55	$4,854.35	$4,971.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,133.03 / $4,133.03 / $5,166.29	Facility		$4,133.03	$4,133.03	$5,166.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,225.63 / $4,873.85 / $6,331.26	Professional		$4,225.63	$4,873.85	$6,331.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5,166.29 / $5,166.29 / $5,424.60	Facility		$5,166.29	$5,166.29	$5,424.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5,166.29 / $5,166.29 / $5,166.29	Professional		$5,166.29	$5,166.29	$5,166.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,971.34 / $5,140.20 / $5,244.99	Facility		$4,971.34	$5,140.20	$5,244.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,971.34 / $4,971.34 / $5,615.69	Professional		$4,971.34	$4,971.34	$5,615.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $5,848.63 / $10,966.19	Facility		$332.00	$5,848.63	$10,966.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,361.25 / $5,848.63 / $6,302.87	Professional		$5,361.25	$5,848.63	$6,302.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,194.11 / $3,194.11 / $4,057.08	Professional		$3,194.11	$3,194.11	$4,057.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4,971.34 / $5,140.20 / $5,244.99	Facility		$4,971.34	$5,140.20	$5,244.99
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4,971.34 / $4,971.34 / $5,848.63	Professional		$4,971.34	$4,971.34	$5,848.63
United Facility/Professional Professional Modifier Low / Median / High Price $4,734.95 / $5,105.52 / $6,530.97	Professional		$4,734.95	$5,105.52	$6,530.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,601.02 / $1,601.02 / $1,601.02	Facility		$1,601.02	$1,601.02	$1,601.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,601.02 / $1,601.02 / $4,057.08	Professional		$1,601.02	$1,601.02	$4,057.08