Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22,387.21 / $25,118.86 / $56,234.13	Facility		$22,387.21	$25,118.86	$56,234.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22,387.21 / $23,442.29 / $28,183.83	Professional		$22,387.21	$23,442.29	$28,183.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23,988.33 / $23,988.33 / $25,118.86	Facility		$23,988.33	$23,988.33	$25,118.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23,442.29 / $23,442.29 / $23,442.29	Professional		$23,442.29	$23,442.29	$23,442.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $20,892.96 / $20,892.96 / $22,908.68	Facility		$20,892.96	$20,892.96	$22,908.68
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $20,892.96 / $20,892.96 / $20,892.96	Professional		$20,892.96	$20,892.96	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $44,668.36 / $44,668.36	Facility		$3,162.28	$44,668.36	$44,668.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23,988.33 / $23,988.33 / $23,988.33	Professional		$23,988.33	$23,988.33	$23,988.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $22,908.68 / $22,908.68 / $38,904.51	Facility		$22,908.68	$22,908.68	$38,904.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23,988.33 / $23,988.33 / $23,988.33	Professional		$23,988.33	$23,988.33	$23,988.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $23,988.33 / $24,547.09 / $24,547.09	Facility		$23,988.33	$24,547.09	$24,547.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $23,988.33 / $23,988.33 / $24,547.09	Professional		$23,988.33	$23,988.33	$24,547.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $51,286.14 / $75,857.76	Facility		$50,118.72	$51,286.14	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $26,915.35 / $26,915.35	Professional		$4,897.79	$26,915.35	$26,915.35
United Facility/Professional Facility Modifier Low / Median / High Price $23,988.33 / $23,988.33 / $23,988.33	Facility		$23,988.33	$23,988.33	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $21,877.62 / $23,442.29 / $28,183.83	Professional		$21,877.62	$23,442.29	$28,183.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $23,988.33 / $24,547.09 / $26,915.35	Facility		$23,988.33	$24,547.09	$26,915.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $23,988.33 / $23,988.33 / $24,547.09	Professional		$23,988.33	$23,988.33	$24,547.09