Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,581.41 / $3,056.91 / $5,658.50	Facility		$2,581.41	$3,056.91	$5,658.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,581.41 / $3,098.93 / $4,428.64	Professional		$2,581.41	$3,098.93	$4,428.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,294.23 / $2,999.01 / $9,449.32	Professional		$2,294.23	$2,999.01	$9,449.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5,442.76 / $5,852.43 / $5,852.43	Facility		$5,442.76	$5,852.43	$5,852.43
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5,852.43 / $5,852.43 / $5,852.43	Professional		$5,852.43	$5,852.43	$5,852.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,063.89 / $4,063.89 / $4,063.89	Facility		$4,063.89	$4,063.89	$4,063.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,454.31 / $3,454.31 / $4,063.89	Professional		$3,454.31	$3,454.31	$4,063.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $7,024.51 / $15,805.15	Facility		$319.00	$7,024.51	$15,805.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,144.46 / $5,268.38 / $12,798.66	Professional		$4,144.46	$5,268.38	$12,798.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,223.16 / $4,487.10 / $5,852.43	Professional		$4,223.16	$4,487.10	$5,852.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $4,063.89 / $7,024.51	Facility		$597.00	$4,063.89	$7,024.51
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,454.31 / $4,063.89 / $10,466.52	Professional		$3,454.31	$4,063.89	$10,466.52
United Facility/Professional Professional Modifier Low / Median / High Price $2,336.30 / $3,989.53 / $6,054.60	Professional		$2,336.30	$3,989.53	$6,054.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,754.86 / $4,223.16 / $4,223.16	Facility		$3,754.86	$4,223.16	$4,223.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $4,223.16 / $4,223.16 / $4,487.10	Professional		$4,223.16	$4,223.16	$4,487.10