Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,888.44 / $10,964.78	Facility		$2,570.40	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,248.07 / $10,715.19	Professional		$4,265.80	$5,248.07	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $8,317.64 / $16,595.87	Facility		$4,466.84	$8,317.64	$16,595.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $8,912.51	Professional		$3,801.89	$4,466.84	$8,912.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $37,153.52	Facility		$6,606.93	$6,606.93	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Professional		$6,606.93	$6,606.93	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $7,943.28 / $7,943.28	Facility		$34.67	$7,943.28	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $6,606.93 / $16,982.44	Professional		$3,548.13	$6,606.93	$16,982.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $5,754.40 / $16,982.44	Facility		$4,677.35	$5,754.40	$16,982.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $6,606.93 / $10,232.93	Professional		$5,248.07	$6,606.93	$10,232.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Facility		$4,365.16	$4,365.16	$4,365.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $6,165.95 / $9,772.37	Professional		$3,801.89	$6,165.95	$9,772.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $50,118.72 / $75,857.76	Facility		$4,786.30	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $6,760.83 / $12,302.69	Professional		$5,754.40	$6,760.83	$12,302.69
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 $3,548.13 / $5,128.61 / $12,022.64	Professional		$3,548.13	$5,128.61	$12,022.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,495.41 / $16,595.87	Facility		$3,801.89	$5,495.41	$16,595.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,888.44 / $11,748.98	Professional		$3,801.89	$5,888.44	$11,748.98