Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,677.35 / $7,413.10	Facility		$2,137.96	$4,677.35	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $2,344.23	Professional		$1,348.96	$1,905.46	$2,344.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $1,905.46	Professional		$354.81	$354.81	$1,905.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $2,511.89	Professional		$1,819.70	$2,511.89	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $5,370.32 / $6,456.54	Facility		$1,621.81	$5,370.32	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $12,022.64 / $12,022.64	Professional		$2,884.03	$12,022.64	$12,022.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,715.35 / $9,549.93	Facility		$2,511.89	$3,715.35	$9,549.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $4,786.30	Professional		$1,174.90	$1,479.11	$4,786.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,511.89 / $2,818.38	Professional		$1,548.82	$2,511.89	$2,818.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,677.35 / $50,118.72	Facility		$3,235.94	$4,677.35	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,238.72 / $3,019.95	Facility		$1,479.11	$2,238.72	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $3,715.35	Professional		$1,047.13	$1,479.11	$3,715.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,511.89 / $2,884.03	Facility		$1,479.11	$2,511.89	$2,884.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,511.89 / $2,884.03	Professional		$1,513.56	$2,511.89	$2,884.03