Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,021.26 / $2,393.58 / $4,430.64	Facility		$2,021.26	$2,393.58	$4,430.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,021.26 / $2,393.58 / $3,467.66	Professional		$2,021.26	$2,393.58	$3,467.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,500.23 / $5,610.23 / $11,000.46	Facility		$5,500.23	$5,610.23	$11,000.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,694.05 / $2,694.05 / $8,216.85	Professional		$2,694.05	$2,694.05	$8,216.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,833.00 / $4,353.37 / $4,582.47	Facility		$1,833.00	$4,353.37	$4,582.47
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,833.00 / $4,353.37 / $4,582.47	Professional		$1,833.00	$4,353.37	$4,582.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,802.84 / $2,802.84 / $2,802.84	Facility		$2,802.84	$2,802.84	$2,802.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,382.41 / $2,382.41 / $2,802.84	Professional		$2,382.41	$2,382.41	$2,802.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $5,500.23 / $12,375.52	Facility		$319.00	$5,500.23	$12,375.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,245.14 / $4,125.17 / $10,021.42	Professional		$3,245.14	$4,125.17	$10,021.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,306.77 / $3,513.45 / $4,582.47	Professional		$3,306.77	$3,513.45	$4,582.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,802.84 / $5,500.23	Facility		$597.00	$2,802.84	$5,500.23
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,382.41 / $2,802.84 / $7,282.50	Professional		$2,382.41	$2,802.84	$7,282.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,829.33 / $3,141.12 / $5,030.66	Professional		$1,829.33	$3,141.12	$5,030.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,940.09 / $3,306.77 / $3,306.77	Facility		$2,940.09	$3,306.77	$3,306.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,306.77 / $3,306.77 / $3,513.45	Professional		$3,306.77	$3,306.77	$3,513.45