Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,025.60 / $10,964.78	Facility		$2,570.40	$6,025.60	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,495.41 / $10,715.19	Professional		$4,466.84	$5,495.41	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,762.47 / $13,803.84	Facility		$3,890.45	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,786.30 / $10,000.00	Professional		$4,073.80	$4,786.30	$10,000.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $37,153.52	Facility		$6,918.31	$6,918.31	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Professional		$6,918.31	$6,918.31	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $8,317.64 / $8,317.64	Facility		$34.67	$8,317.64	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $6,918.31 / $18,197.01	Professional		$2,754.23	$6,918.31	$18,197.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,623.41 / $13,803.84	Facility		$3,388.44	$5,623.41	$13,803.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $6,760.83 / $10,715.19	Professional		$5,248.07	$6,760.83	$10,715.19
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $6,456.54 / $10,232.93	Professional		$3,715.35	$6,456.54	$10,232.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $50,118.72 / $75,857.76	Facility		$4,570.88	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $6,606.93 / $11,748.98	Professional		$398.11	$6,606.93	$11,748.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,073.80 / $9,120.11	Facility		$1,412.54	$4,073.80	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $5,370.32 / $12,882.50	Professional		$3,388.44	$5,370.32	$12,882.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,754.40 / $11,481.54	Facility		$3,890.45	$5,754.40	$11,481.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,754.40 / $11,748.98	Professional		$3,890.45	$5,754.40	$11,748.98