Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,630.05 / $1,930.31 / $3,573.11	Facility		$1,630.05	$1,930.31	$3,573.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,630.05 / $1,930.31 / $2,796.51	Professional		$1,630.05	$1,930.31	$2,796.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,435.68 / $4,524.39 / $8,871.36	Facility		$4,435.68	$4,524.39	$8,871.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,199.78 / $2,199.78 / $6,709.32	Professional		$2,199.78	$2,199.78	$6,709.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,478.22 / $3,510.76 / $3,695.57	Facility		$1,478.22	$3,510.76	$3,695.57
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,478.22 / $3,510.76 / $3,695.57	Professional		$1,478.22	$3,510.76	$3,695.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,214.74 / $3,214.74 / $3,214.74	Facility		$3,214.74	$3,214.74	$3,214.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,732.53 / $2,732.53 / $3,214.74	Professional		$2,732.53	$2,732.53	$3,214.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,435.68 / $9,980.28	Facility		$319.00	$4,435.68	$9,980.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,617.05 / $3,326.76 / $7,984.22	Professional		$2,617.05	$3,326.76	$7,984.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,666.75 / $2,833.43 / $3,695.57	Professional		$2,666.75	$2,833.43	$3,695.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,214.74 / $4,435.68	Facility		$597.00	$3,214.74	$4,435.68
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,732.53 / $2,741.47 / $5,872.97	Professional		$2,732.53	$2,741.47	$5,872.97
United Facility/Professional Professional Modifier Low / Median / High Price $1,475.28 / $2,582.58 / $3,992.11	Professional		$1,475.28	$2,582.58	$3,992.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,371.04 / $2,666.75 / $2,666.75	Facility		$2,371.04	$2,666.75	$2,666.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,666.75 / $2,666.75 / $2,833.43	Professional		$2,666.75	$2,666.75	$2,833.43