Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,365.16 / $6,165.95	Facility		$1,995.26	$4,365.16	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $4,168.69	Professional		$1,905.46	$2,630.27	$4,168.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $10,964.78	Facility		$5,495.41	$5,495.41	$10,964.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $8,709.64	Professional		$2,754.23	$2,754.23	$8,709.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,570.88 / $4,570.88	Facility		$4,168.69	$4,570.88	$4,570.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Professional		$4,570.88	$4,570.88	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $8,128.31 / $50,118.72	Facility		$3,801.89	$8,128.31	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $5,370.32	Professional		$2,754.23	$2,754.23	$5,370.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $9,120.11 / $21,379.62	Facility		$5,495.41	$9,120.11	$21,379.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $6,025.60 / $10,715.19	Professional		$3,467.37	$6,025.60	$10,715.19
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,162.28	Facility		$3,019.95	$3,019.95	$3,162.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,235.94 / $3,467.37	Professional		$3,019.95	$3,235.94	$3,467.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $50,118.72 / $75,857.76	Facility		$6,456.54	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $5,248.07 / $5,248.07	Professional		$3,630.78	$5,248.07	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,548.13 / $6,025.60	Facility		$1,862.09	$3,548.13	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,951.21 / $4,570.88	Professional		$1,819.70	$2,951.21	$4,570.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,235.94 / $3,388.44	Facility		$3,019.95	$3,235.94	$3,388.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,235.94 / $3,467.37	Professional		$3,019.95	$3,235.94	$3,467.37