Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,443.20 / $12,130.60 / $21,772.80	Facility		$5,443.20	$12,130.60	$21,772.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,480.40 / $6,609.60 / $8,864.64	Professional		$2,480.40	$6,609.60	$8,864.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,776.00 / $7,776.00 / $20,217.59	Facility		$7,776.00	$7,776.00	$20,217.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.83 / $309.83 / $7,458.54	Professional		$309.83	$309.83	$7,458.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,665.60 / $7,776.00 / $7,776.00	Facility		$4,665.60	$7,776.00	$7,776.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5,676.48 / $7,776.00 / $7,776.00	Professional		$5,676.48	$7,776.00	$7,776.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,331.20 / $16,426.80 / $20,178.24	Facility		$9,331.20	$16,426.80	$20,178.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,665.66 / $14,010.39 / $37,480.32	Professional		$4,665.66	$14,010.39	$37,480.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $10,108.79 / $17,496.00	Facility		$319.00	$10,108.79	$17,496.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,443.20 / $8,112.70 / $14,230.08	Professional		$5,443.20	$8,112.70	$14,230.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,609.61 / $7,679.85 / $14,100.17	Professional		$6,609.61	$7,679.85	$14,100.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $18,972.37 / $20,178.24	Facility		$254.50	$18,972.37	$20,178.24
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $5,054.39 / $10,031.04 / $23,328.00	Professional		$5,054.39	$10,031.04	$23,328.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,265.92 / $4,665.60 / $12,052.80	Professional		$3,265.92	$4,665.60	$12,052.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $8,242.57 / $8,242.57 / $8,242.57	Facility		$8,242.57	$8,242.57	$8,242.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $6,609.61 / $7,776.00 / $9,152.33	Professional		$6,609.61	$7,776.00	$9,152.33