Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,559.00 / $5,960.00 / $11,733.79	Facility		$2,559.00	$5,960.00	$11,733.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,028.37 / $11,055.98 / $13,022.69	Professional		$4,028.37	$11,055.98	$13,022.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $9,750.00 / $16,411.00	Facility		$4,989.00	$9,750.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10,705.54 / $12,594.75 / $13,573.16	Professional		$10,705.54	$12,594.75	$13,573.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,492.50 / $13,860.85 / $13,860.85	Facility		$4,492.50	$13,860.85	$13,860.85
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $13,860.85 / $13,860.85 / $13,860.85	Professional		$13,860.85	$13,860.85	$13,860.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,919.51 / $6,919.51 / $7,227.90	Facility		$6,919.51	$6,919.51	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34,443.67 / $34,443.67 / $34,443.67	Professional		$34,443.67	$34,443.67	$34,443.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,077.43 / $40,501.00	Facility		$319.00	$1,077.43	$40,501.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8,153.29 / $13,571.59 / $22,369.71	Professional		$8,153.29	$13,571.59	$22,369.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $10,053.03 / $15,079.56 / $19,502.89	Professional		$10,053.03	$15,079.56	$19,502.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $6,919.51 / $74,999.25	Facility		$555.00	$6,919.51	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $34,443.67 / $34,443.67 / $34,443.67	Professional		$34,443.67	$34,443.67	$34,443.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $7,719.00 / $17,688.00	Facility		$2,705.00	$7,719.00	$17,688.00
United Facility/Professional Professional Modifier Low / Median / High Price $9,550.37 / $12,677.05 / $29,748.36	Professional		$9,550.37	$12,677.05	$29,748.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $652.99 / $652.99 / $652.99	Facility		$652.99	$652.99	$652.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $652.99 / $15,402.32 / $21,089.76	Professional		$652.99	$15,402.32	$21,089.76