Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $37,153.52 / $77,624.71	Facility		$28,183.83	$37,153.52	$77,624.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28,183.83 / $28,183.83 / $38,018.94	Professional		$28,183.83	$28,183.83	$38,018.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $28,183.83 / $29,512.09	Facility		$28,183.83	$28,183.83	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28,183.83 / $28,183.83 / $28,183.83	Professional		$28,183.83	$28,183.83	$28,183.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $22,387.21	Facility		$21,379.62	$21,379.62	$22,387.21
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Professional		$21,379.62	$21,379.62	$21,379.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20,892.96 / $26,915.35 / $40,738.03	Facility		$20,892.96	$26,915.35	$40,738.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28,183.83 / $28,183.83 / $30,902.95	Professional		$28,183.83	$28,183.83	$30,902.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $26,915.35 / $34,673.69 / $97,723.72	Facility		$26,915.35	$34,673.69	$97,723.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29,512.09 / $29,512.09 / $35,481.34	Professional		$29,512.09	$29,512.09	$35,481.34
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $28,183.83 / $28,840.32	Facility		$28,183.83	$28,183.83	$28,840.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $28,183.83 / $28,840.32 / $28,840.32	Professional		$28,183.83	$28,840.32	$28,840.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $31,622.78 / $50,118.72 / $58,884.37	Facility		$31,622.78	$50,118.72	$58,884.37
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $30,902.95 / $30,902.95	Professional		$4,073.80	$30,902.95	$30,902.95
United Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $28,183.83 / $28,183.83	Facility		$28,183.83	$28,183.83	$28,183.83
United Facility/Professional Professional Modifier Low / Median / High Price $26,915.35 / $28,183.83 / $33,884.42	Professional		$26,915.35	$28,183.83	$33,884.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $28,183.83 / $33,113.11	Facility		$28,183.83	$28,183.83	$33,113.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $28,183.83 / $28,840.32 / $28,840.32	Professional		$28,183.83	$28,840.32	$28,840.32