Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43,651.58 / $56,234.13 / $100,000.00	Facility		$43,651.58	$56,234.13	$100,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43,651.58 / $43,651.58 / $60,255.96	Professional		$43,651.58	$43,651.58	$60,255.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43,651.58 / $43,651.58 / $44,668.36	Facility		$43,651.58	$43,651.58	$44,668.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43,651.58 / $43,651.58 / $43,651.58	Professional		$43,651.58	$43,651.58	$43,651.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $43,651.58 / $43,651.58 / $45,708.82	Facility		$43,651.58	$43,651.58	$45,708.82
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $43,651.58 / $43,651.58 / $43,651.58	Professional		$43,651.58	$43,651.58	$43,651.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40,738.03 / $40,738.03 / $67,608.30	Facility		$40,738.03	$40,738.03	$67,608.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43,651.58 / $43,651.58 / $48,977.88	Professional		$43,651.58	$43,651.58	$48,977.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $38,904.51 / $60,255.96 / $141,253.75	Facility		$38,904.51	$60,255.96	$141,253.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $44,668.36 / $60,255.96 / $60,255.96	Professional		$44,668.36	$60,255.96	$60,255.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $44,668.36 / $44,668.36 / $44,668.36	Facility		$44,668.36	$44,668.36	$44,668.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $44,668.36 / $44,668.36 / $44,668.36	Professional		$44,668.36	$44,668.36	$44,668.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $109,647.82	Facility		$50,118.72	$53,703.18	$109,647.82
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $24,547.09 / $48,977.88 / $48,977.88	Professional		$24,547.09	$48,977.88	$48,977.88
United Facility/Professional Facility Modifier Low / Median / High Price $43,651.58 / $43,651.58 / $43,651.58	Facility		$43,651.58	$43,651.58	$43,651.58
United Facility/Professional Professional Modifier Low / Median / High Price $40,738.03 / $44,668.36 / $56,234.13	Professional		$40,738.03	$44,668.36	$56,234.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $44,668.36 / $44,668.36 / $51,286.14	Facility		$44,668.36	$44,668.36	$51,286.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $44,668.36 / $44,668.36 / $44,668.36	Professional		$44,668.36	$44,668.36	$44,668.36