Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $14,454.40 / $22,908.68	Facility		$6,456.54	$14,454.40	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $5,011.87 / $7,413.10	Professional		$2,691.53	$5,011.87	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $7,943.28	Professional		$851.14	$851.14	$7,943.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Facility		$7,585.78	$7,585.78	$7,585.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $7,585.78 / $7,585.78	Professional		$5,495.41	$7,585.78	$7,585.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $16,218.10 / $19,498.45	Facility		$4,897.79	$16,218.10	$19,498.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $36,307.81 / $36,307.81	Professional		$7,585.78	$36,307.81	$36,307.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,589.25 / $28,840.32	Facility		$7,585.78	$12,589.25	$28,840.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $10,232.93 / $14,791.08	Professional		$7,943.28	$10,232.93	$14,791.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $7,413.10 / $13,489.63	Professional		$6,309.57	$7,413.10	$13,489.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $14,454.40 / $50,118.72	Facility		$9,772.37	$14,454.40	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,762.47	Professional		$7,585.78	$7,585.78	$7,762.47
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $7,585.78 / $9,120.11	Facility		$6,760.83	$7,585.78	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,570.88 / $10,000.00	Professional		$3,162.28	$4,570.88	$10,000.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,585.78 / $8,709.64	Facility		$4,570.88	$7,585.78	$8,709.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $15,135.61	Professional		$6,456.54	$7,585.78	$15,135.61