Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,466.84 / $8,912.51	Facility		$3,630.78	$4,466.84	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,715.35 / $4,466.84	Professional		$3,630.78	$3,715.35	$4,466.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,365.16	Facility		$4,168.69	$4,168.69	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,168.69	Facility		$3,715.35	$3,715.35	$4,168.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,073.80 / $50,118.72	Facility		$3,801.89	$4,073.80	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $6,606.93	Facility		$3,801.89	$3,801.89	$6,606.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,801.89 / $3,801.89	Professional		$3,235.94	$3,801.89	$3,801.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,981.07 / $4,168.69	Facility		$3,801.89	$3,981.07	$4,168.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,981.07	Professional		$3,801.89	$3,801.89	$3,981.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $5,248.07	Professional		$3,715.35	$3,715.35	$5,248.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,981.07 / $4,168.69	Facility		$3,801.89	$3,981.07	$4,168.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,981.07	Professional		$3,801.89	$3,801.89	$3,981.07