Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,735.50 / $4,423.59 / $8,188.28	Facility		$3,735.50	$4,423.59	$8,188.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,735.50 / $4,526.18 / $6,408.58	Professional		$3,735.50	$4,526.18	$6,408.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,164.96 / $10,368.27 / $20,329.93	Facility		$10,164.96	$10,368.27	$20,329.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,635.06 / $5,635.06 / $15,778.16	Professional		$5,635.06	$5,635.06	$15,778.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $7,876.08 / $8,468.90 / $8,468.90	Facility		$7,876.08	$8,468.90	$8,468.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $8,468.90 / $8,468.90 / $8,468.90	Professional		$8,468.90	$8,468.90	$8,468.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,652.12 / $6,652.12 / $6,652.12	Facility		$6,652.12	$6,652.12	$6,652.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,856.05 / $4,856.05 / $6,652.12	Professional		$4,856.05	$4,856.05	$6,652.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $10,164.96 / $22,871.18	Facility		$319.00	$10,164.96	$22,871.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,997.33 / $7,665.75 / $18,520.58	Professional		$5,997.33	$7,665.75	$18,520.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,111.24 / $6,493.20 / $8,468.90	Professional		$6,111.24	$6,493.20	$8,468.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $6,652.12 / $10,164.96	Facility		$597.00	$6,652.12	$10,164.96
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4,856.05 / $6,282.46 / $14,901.56	Professional		$4,856.05	$6,282.46	$14,901.56
United Facility/Professional Professional Modifier Low / Median / High Price $3,380.80 / $6,098.98 / $9,297.20	Professional		$3,380.80	$6,098.98	$9,297.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $5,433.58 / $6,111.24 / $6,111.24	Facility		$5,433.58	$6,111.24	$6,111.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $6,111.24 / $6,111.24 / $6,493.20	Professional		$6,111.24	$6,111.24	$6,493.20