Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $9,120.11 / $9,120.11	Facility		$5,888.44	$9,120.11	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $8,912.51 / $14,791.08	Professional		$5,128.61	$8,912.51	$14,791.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $16,595.87	Professional		$6,606.93	$6,606.93	$16,595.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,288.25 / $16,595.87	Facility		$1,202.26	$1,288.25	$16,595.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $16,595.87	Professional		$1,288.25	$1,288.25	$16,595.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $14,125.38 / $24,547.09	Facility		$3,019.95	$14,125.38	$24,547.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $19,952.62	Professional		$10,715.19	$10,715.19	$19,952.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Professional		$12,882.50	$12,882.50	$12,882.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $9,549.93 / $9,549.93	Professional		$9,120.11	$9,549.93	$9,549.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $50,118.72 / $53,703.18	Facility		$50,118.72	$50,118.72	$53,703.18
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $5,248.07 / $9,772.37	Facility		$602.56	$5,248.07	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,882.50	Professional		$5,011.87	$7,943.28	$12,882.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $9,120.11 / $9,120.11	Facility		$8,709.64	$9,120.11	$9,120.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $9,120.11 / $9,549.93	Professional		$8,912.51	$9,120.11	$9,549.93