Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45,020.65 / $55,219.20 / $91,120.80	Facility		$45,020.65	$55,219.20	$91,120.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45,020.65 / $45,020.65 / $52,850.10	Professional		$45,020.65	$45,020.65	$52,850.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36,016.51 / $36,016.51 / $45,020.65	Facility		$36,016.51	$36,016.51	$45,020.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42,302.58 / $45,020.65 / $58,470.88	Professional		$42,302.58	$45,020.65	$58,470.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $43,442.33 / $43,442.33 / $45,614.45	Facility		$43,442.33	$43,442.33	$45,614.45
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $43,442.33 / $43,442.33 / $43,442.33	Professional		$43,442.33	$43,442.33	$43,442.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42,472.31 / $44,317.12 / $49,742.71	Facility		$42,472.31	$44,317.12	$49,742.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45,020.65 / $45,020.65 / $48,843.16	Professional		$45,020.65	$45,020.65	$48,843.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $60,217.94 / $96,348.70	Facility		$332.00	$60,217.94	$96,348.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46,719.54 / $60,217.94 / $60,217.94	Professional		$46,719.54	$60,217.94	$60,217.94
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $45,020.65 / $45,020.65 / $45,020.65	Facility		$45,020.65	$45,020.65	$45,020.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $45,020.65 / $45,020.65 / $45,020.65	Professional		$45,020.65	$45,020.65	$45,020.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $42,472.31 / $44,317.12 / $49,742.71	Facility		$42,472.31	$44,317.12	$49,742.71
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $45,020.65 / $45,020.65 / $53,786.02	Professional		$45,020.65	$45,020.65	$53,786.02
United Facility/Professional Professional Modifier Low / Median / High Price $44,815.87 / $47,721.89 / $60,327.67	Professional		$44,815.87	$47,721.89	$60,327.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $45,020.65 / $45,020.65 / $45,020.65	Facility		$45,020.65	$45,020.65	$45,020.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $45,020.65 / $45,020.65 / $45,020.65	Professional		$45,020.65	$45,020.65	$45,020.65