Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.79 / $3,745.38 / $6,932.89	Facility		$3,162.79	$3,745.38	$6,932.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,162.79 / $3,745.38 / $5,426.05	Professional		$3,162.79	$3,745.38	$5,426.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,606.54 / $8,778.67 / $17,213.08	Facility		$8,606.54	$8,778.67	$17,213.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,353.79 / $4,353.79 / $13,138.74	Professional		$4,353.79	$4,353.79	$13,138.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $6,668.56 / $7,170.49 / $7,170.49	Facility		$6,668.56	$7,170.49	$7,170.49
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $7,170.49 / $7,170.49 / $7,170.49	Professional		$7,170.49	$7,170.49	$7,170.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,938.58 / $4,938.58 / $4,938.58	Facility		$4,938.58	$4,938.58	$4,938.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,605.16 / $3,605.16 / $4,938.58	Professional		$3,605.16	$3,605.16	$4,938.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $8,606.54 / $19,364.72	Facility		$319.00	$8,606.54	$19,364.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,444.14 / $6,454.91 / $15,681.12	Professional		$4,444.14	$6,454.91	$15,681.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,174.31 / $5,497.71 / $7,170.49	Professional		$5,174.31	$5,497.71	$7,170.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $4,938.58 / $8,606.54	Facility		$597.00	$4,938.58	$8,606.54
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,605.16 / $4,938.58 / $11,062.97	Professional		$3,605.16	$4,938.58	$11,062.97
United Facility/Professional Professional Modifier Low / Median / High Price $2,862.47 / $4,888.07 / $7,745.89	Professional		$2,862.47	$4,888.07	$7,745.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $5,174.31 / $5,174.31 / $5,377.07	Facility		$5,174.31	$5,174.31	$5,377.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $5,174.31 / $5,174.31 / $5,497.71	Professional		$5,174.31	$5,174.31	$5,497.71