Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,408.38 / $7,874.58 / $12,909.10	Facility		$6,408.38	$7,874.58	$12,909.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $8,713.67	Professional		$6,408.38	$6,408.38	$8,713.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,126.70 / $5,126.70 / $6,408.38	Facility		$5,126.70	$5,126.70	$6,408.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $516.09 / $6,408.38 / $6,521.80	Professional		$516.09	$6,408.38	$6,521.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5,708.59 / $5,708.59 / $5,994.02	Facility		$5,708.59	$5,708.59	$5,994.02
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5,708.59 / $5,708.59 / $5,708.59	Professional		$5,708.59	$5,708.59	$5,708.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,933.15 / $6,045.64 / $6,408.38	Facility		$5,933.15	$6,045.64	$6,408.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $6,408.38	Professional		$6,408.38	$6,408.38	$6,408.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $6,408.38 / $13,602.69	Facility		$319.00	$6,408.38	$13,602.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $8,282.53	Professional		$6,408.38	$6,408.38	$8,282.53
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $6,650.20	Facility		$6,408.38	$6,408.38	$6,650.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $6,650.20	Professional		$6,408.38	$6,408.38	$6,650.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $5,760.34 / $6,045.64 / $6,408.38	Facility		$5,760.34	$6,045.64	$6,408.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $6,408.38 / $6,713.30	Professional		$33.00	$6,408.38	$6,713.30
United Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $9,449.67	Professional		$6,408.38	$6,408.38	$9,449.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $6,650.20 / $6,650.20 / $6,650.20	Facility		$6,650.20	$6,650.20	$6,650.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $208.54 / $6,408.38 / $6,650.20	Professional		$208.54	$6,408.38	$6,650.20