Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $6,025.60 / $9,549.93	Facility		$2,691.53	$6,025.60	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $3,019.95	Professional		$478.63	$478.63	$3,019.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $3,311.31	Professional		$208.93	$208.93	$3,311.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,162.28 / $3,162.28	Professional		$2,290.87	$3,162.28	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $6,760.83 / $8,128.31	Facility		$2,041.74	$6,760.83	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $15,135.61 / $15,135.61	Professional		$3,162.28	$15,135.61	$15,135.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,248.07 / $12,022.64	Facility		$3,162.28	$5,248.07	$12,022.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,265.80 / $6,165.95	Professional		$3,311.31	$4,265.80	$6,165.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $5,623.41	Professional		$2,630.27	$3,090.30	$5,623.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,888.44 / $50,118.72	Facility		$4,073.80	$5,888.44	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,235.94	Professional		$3,162.28	$3,162.28	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,162.28 / $3,801.89	Facility		$2,818.38	$3,162.28	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $4,168.69	Professional		$1,318.26	$1,905.46	$4,168.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,162.28 / $3,630.78	Facility		$1,905.46	$3,162.28	$3,630.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,162.28 / $6,309.57	Professional		$2,630.27	$3,162.28	$6,309.57