Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,898.21 / $13,443.50 / $24,096.80	Facility		$5,898.21	$13,443.50	$24,096.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,481.14 / $5,073.00 / $7,186.75	Professional		$4,481.14	$5,073.00	$7,186.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $208.00 / $9,193.96	Professional		$208.00	$208.00	$9,193.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $8,455.00 / $8,455.00 / $8,455.00	Facility		$8,455.00	$8,455.00	$8,455.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $6,172.15 / $8,455.00 / $8,455.00	Professional		$6,172.15	$8,455.00	$8,455.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,146.00 / $17,861.18 / $21,940.26	Facility		$10,146.00	$17,861.18	$21,940.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,298.34 / $40,753.10 / $40,753.10	Professional		$10,298.34	$40,753.10	$40,753.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $10,991.50 / $19,023.75	Facility		$319.00	$10,991.50	$19,023.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,918.50 / $10,991.50 / $18,347.34	Professional		$5,918.50	$10,991.50	$18,347.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,186.76 / $8,350.45 / $15,331.40	Professional		$7,186.76	$8,350.45	$15,331.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $7,749.01 / $20,629.09 / $21,940.26	Facility		$7,749.01	$20,629.09	$21,940.26
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $5,495.75 / $9,215.95 / $19,446.50	Professional		$5,495.75	$9,215.95	$19,446.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,543.50 / $2,205.00 / $8,029.99	Professional		$1,543.50	$2,205.00	$8,029.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $8,455.00 / $9,723.04 / $9,723.04	Facility		$8,455.00	$9,723.04	$9,723.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $7,186.76 / $8,455.00 / $10,162.20	Professional		$7,186.76	$8,455.00	$10,162.20