Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,821.19 / $3,340.87 / $6,184.11	Facility		$2,821.19	$3,340.87	$6,184.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,821.19 / $3,386.79 / $4,840.02	Professional		$2,821.19	$3,386.79	$4,840.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,300.34 / $4,300.34 / $11,911.94	Professional		$4,300.34	$4,300.34	$11,911.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5,948.33 / $6,396.05 / $6,396.05	Facility		$5,948.33	$6,396.05	$6,396.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $6,396.05 / $6,396.05 / $6,396.05	Professional		$6,396.05	$6,396.05	$6,396.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,391.66 / $4,391.66 / $4,391.66	Facility		$4,391.66	$4,391.66	$4,391.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,732.91 / $3,732.91 / $4,391.66	Professional		$3,732.91	$3,732.91	$4,391.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $7,677.00 / $17,273.25	Facility		$319.00	$7,677.00	$17,273.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,529.43 / $5,757.75 / $13,987.49	Professional		$4,529.43	$5,757.75	$13,987.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,615.43 / $4,903.91 / $6,396.05	Professional		$4,615.43	$4,903.91	$6,396.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $4,391.66 / $7,677.00	Facility		$597.00	$4,391.66	$7,677.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,732.91 / $4,391.66 / $11,398.13	Professional		$3,732.91	$4,391.66	$11,398.13
United Facility/Professional Professional Modifier Low / Median / High Price $2,553.31 / $4,606.20 / $6,909.30	Professional		$2,553.31	$4,606.20	$6,909.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,103.64 / $4,615.43 / $4,615.43	Facility		$4,103.64	$4,615.43	$4,615.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $4,615.43 / $4,615.43 / $4,903.91	Professional		$4,615.43	$4,615.43	$4,903.91