Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,826.33 / $11,221.10 / $20,140.40	Facility		$5,826.33	$11,221.10	$20,140.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,920.19 / $5,610.54 / $8,343.87	Professional		$3,920.19	$5,610.54	$8,343.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,193.00 / $7,193.00 / $18,701.80	Facility		$7,193.00	$7,193.00	$18,701.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,877.20 / $2,877.20 / $16,079.95	Professional		$2,877.20	$2,877.20	$16,079.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,315.80 / $7,193.00 / $7,193.00	Facility		$4,315.80	$7,193.00	$7,193.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5,250.89 / $7,193.00 / $7,193.00	Professional		$5,250.89	$7,193.00	$7,193.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,631.60 / $15,195.21 / $18,665.20	Facility		$8,631.60	$15,195.21	$18,665.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,464.75 / $9,639.07 / $23,223.74	Professional		$4,464.75	$9,639.07	$23,223.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $9,350.90 / $16,184.25	Facility		$319.00	$9,350.90	$16,184.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,035.10 / $7,504.46 / $13,163.19	Professional		$5,035.10	$7,504.46	$13,163.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,114.06 / $7,193.00 / $13,043.02	Professional		$6,114.06	$7,193.00	$13,043.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $17,549.75 / $18,665.20	Facility		$254.50	$17,549.75	$18,665.20
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4,476.03 / $9,260.99 / $21,579.00	Professional		$4,476.03	$9,260.99	$21,579.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,021.06 / $4,315.80 / $10,901.57	Professional		$3,021.06	$4,315.80	$10,901.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $7,624.59 / $7,624.59 / $10,021.71	Facility		$7,624.59	$7,624.59	$10,021.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $6,114.06 / $7,458.83 / $10,322.99	Professional		$6,114.06	$7,458.83	$10,322.99