Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $6,456.54 / $9,120.11	Facility		$2,951.21	$6,456.54	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $7,079.46	Professional		$3,311.31	$4,786.30	$7,079.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $16,218.10	Facility		$8,128.31	$8,128.31	$16,218.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $13,803.84	Professional		$4,897.79	$4,897.79	$13,803.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,606.93 / $6,606.93	Facility		$6,165.95	$6,606.93	$6,606.93
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Professional		$6,606.93	$6,606.93	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $14,454.40 / $50,118.72	Facility		$6,606.93	$14,454.40	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $8,128.31	Professional		$4,786.30	$4,786.30	$8,128.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $13,489.63 / $31,622.78	Facility		$8,128.31	$13,489.63	$31,622.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $9,332.54 / $15,848.93	Professional		$5,011.87	$9,332.54	$15,848.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,128.61 / $5,754.40	Professional		$4,786.30	$5,128.61	$5,754.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $7,762.47 / $7,762.47	Professional		$5,370.32	$7,762.47	$7,762.47
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $6,309.57 / $10,964.78	Facility		$3,311.31	$6,309.57	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,365.16 / $6,760.83	Professional		$2,691.53	$4,365.16	$6,760.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,786.30 / $5,011.87	Facility		$4,570.88	$4,786.30	$5,011.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $5,128.61	Professional		$4,786.30	$4,786.30	$5,128.61