Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,272.23 / $2,690.78 / $4,980.76	Facility		$2,272.23	$2,690.78	$4,980.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,272.23 / $2,727.76 / $3,898.21	Professional		$2,272.23	$2,727.76	$3,898.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,183.15 / $6,306.81 / $12,366.30	Facility		$6,183.15	$6,306.81	$12,366.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,019.44 / $2,639.80 / $8,397.96	Professional		$2,019.44	$2,639.80	$8,397.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,790.85 / $5,151.46 / $5,151.46	Facility		$4,790.85	$5,151.46	$5,151.46
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5,151.46 / $5,151.46 / $5,151.46	Professional		$5,151.46	$5,151.46	$5,151.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,799.01 / $3,799.01 / $3,799.01	Facility		$3,799.01	$3,799.01	$3,799.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,229.16 / $3,229.16 / $3,799.01	Professional		$3,229.16	$3,229.16	$3,799.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $6,183.15 / $13,912.09	Facility		$319.00	$6,183.15	$13,912.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,648.06 / $4,637.35 / $11,265.70	Professional		$3,648.06	$4,637.35	$11,265.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,717.35 / $3,949.68 / $5,151.46	Professional		$3,717.35	$3,949.68	$5,151.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,799.01 / $6,183.15	Facility		$597.00	$3,799.01	$6,183.15
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,229.16 / $3,799.01 / $9,212.89	Professional		$3,229.16	$3,799.01	$9,212.89
United Facility/Professional Professional Modifier Low / Median / High Price $2,056.46 / $3,756.70 / $5,655.30	Professional		$2,056.46	$3,756.70	$5,655.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,305.14 / $3,717.35 / $3,717.35	Facility		$3,305.14	$3,717.35	$3,717.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,717.35 / $3,717.35 / $3,949.68	Professional		$3,717.35	$3,717.35	$3,949.68