Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $15,848.93 / $25,703.96	Facility		$7,244.36	$15,848.93	$25,703.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $6,309.57 / $7,244.36	Professional		$4,570.88	$6,309.57	$7,244.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $8,912.51	Professional		$208.93	$208.93	$8,912.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $8,511.38	Facility		$8,511.38	$8,511.38	$8,511.38
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $8,511.38 / $8,511.38	Professional		$6,165.95	$8,511.38	$8,511.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $18,197.01 / $21,877.62	Facility		$5,495.41	$18,197.01	$21,877.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $40,738.03 / $40,738.03	Professional		$8,511.38	$40,738.03	$40,738.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $13,803.84 / $32,359.37	Facility		$8,511.38	$13,803.84	$32,359.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $10,471.29 / $16,218.10	Professional		$5,888.44	$10,471.29	$16,218.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $8,317.64 / $15,135.61	Professional		$7,244.36	$8,317.64	$15,135.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $15,848.93 / $50,118.72	Facility		$10,964.78	$15,848.93	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $8,709.64	Professional		$8,511.38	$8,511.38	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $8,511.38 / $10,232.93	Facility		$7,585.78	$8,511.38	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $5,888.44	Professional		$1,548.82	$2,187.76	$5,888.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $8,511.38 / $9,772.37	Facility		$7,244.36	$8,511.38	$9,772.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $8,511.38 / $16,595.87	Professional		$5,754.40	$8,511.38	$16,595.87