Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,413.17 / $12,055.70 / $21,609.30	Facility		$3,413.17	$12,055.70	$21,609.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,666.54 / $2,666.54 / $2,666.54	Professional		$2,666.54	$2,666.54	$2,666.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $846.27 / $7,582.20	Professional		$846.27	$846.27	$7,582.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $7,582.20 / $7,582.20 / $7,582.20	Facility		$7,582.20	$7,582.20	$7,582.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5,535.01 / $7,582.20 / $7,582.20	Professional		$5,535.01	$7,582.20	$7,582.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,098.64 / $16,017.40 / $19,675.71	Facility		$9,098.64	$16,017.40	$19,675.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,235.41 / $36,546.19 / $36,546.19	Professional		$9,235.41	$36,546.19	$36,546.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $9,098.64 / $17,059.95	Facility		$294.00	$9,098.64	$17,059.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7,961.31 / $10,008.50 / $16,453.37	Professional		$7,961.31	$10,008.50	$16,453.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,444.88 / $7,582.20 / $13,748.75	Professional		$6,444.88	$7,582.20	$13,748.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $6,949.09 / $18,499.87 / $19,675.71	Facility		$6,949.09	$18,499.87	$19,675.71
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4,928.43 / $8,264.60 / $17,439.06	Professional		$4,928.43	$8,264.60	$17,439.06
United Facility/Professional Professional Modifier Low / Median / High Price $3,184.52 / $4,429.89 / $11,902.92	Professional		$3,184.52	$4,429.89	$11,902.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $7,582.20 / $8,719.34 / $8,719.34	Facility		$7,582.20	$8,719.34	$8,719.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $6,444.88 / $7,582.20 / $9,113.17	Professional		$6,444.88	$7,582.20	$9,113.17