Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,114.88 / $3,688.65 / $6,827.88	Facility		$3,114.88	$3,688.65	$6,827.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,114.88 / $3,739.38 / $5,343.87	Professional		$3,114.88	$3,739.38	$5,343.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,476.18 / $8,645.70 / $16,952.36	Facility		$8,476.18	$8,645.70	$16,952.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,217.74 / $5,217.74 / $13,905.27	Professional		$5,217.74	$5,217.74	$13,905.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $6,567.55 / $7,061.88 / $7,061.88	Facility		$6,567.55	$7,061.88	$7,061.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $7,061.88 / $7,061.88 / $7,061.88	Professional		$7,061.88	$7,061.88	$7,061.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,042.00 / $6,042.00 / $6,042.00	Facility		$6,042.00	$6,042.00	$6,042.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,410.66 / $4,410.66 / $6,042.00	Professional		$4,410.66	$4,410.66	$6,042.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $8,476.18 / $19,071.41	Facility		$319.00	$8,476.18	$19,071.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,376.82 / $6,272.37 / $15,257.12	Professional		$4,376.82	$6,272.37	$15,257.12
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,402.06 / $5,402.06 / $5,402.06	Facility		$5,402.06	$5,402.06	$5,402.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,095.92 / $5,402.06 / $6,482.47	Professional		$5,095.92	$5,402.06	$6,482.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $6,042.00 / $8,476.18	Facility		$597.00	$6,042.00	$8,476.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4,410.66 / $5,238.68 / $12,585.00	Professional		$4,410.66	$5,238.68	$12,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,819.11 / $5,114.47 / $7,752.56	Professional		$2,819.11	$5,114.47	$7,752.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $5,095.92 / $5,095.92 / $5,295.61	Facility		$5,095.92	$5,095.92	$5,295.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $5,095.92 / $5,095.92 / $5,414.41	Professional		$5,095.92	$5,095.92	$5,414.41