Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $6,456.54 / $14,454.40	Facility		$5,754.40	$6,456.54	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $6,025.60 / $7,079.46	Professional		$5,754.40	$6,025.60	$7,079.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,467.37	Facility		$3,311.31	$3,311.31	$3,467.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Professional		$6,606.93	$6,606.93	$6,606.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $5,128.61	Facility		$4,677.35	$4,677.35	$5,128.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $11,748.98 / $11,748.98	Facility		$2,238.72	$11,748.98	$11,748.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $6,456.54 / $10,232.93	Facility		$2,398.83	$6,456.54	$10,232.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $6,760.83 / $6,760.83	Professional		$2,238.72	$6,760.83	$6,760.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,165.95	Facility		$6,025.60	$6,025.60	$6,165.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,165.95 / $6,165.95	Professional		$6,025.60	$6,165.95	$6,165.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $50,118.72 / $75,857.76	Facility		$13,182.57	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,606.93 / $7,943.28	Professional		$6,025.60	$6,606.93	$7,943.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $7,079.46	Facility		$6,025.60	$6,025.60	$7,079.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,165.95 / $6,165.95	Professional		$6,025.60	$6,165.95	$6,165.95