Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,943.60 / $3,485.82 / $6,452.43	Facility		$2,943.60	$3,485.82	$6,452.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,943.60 / $3,999.73 / $5,050.02	Professional		$2,943.60	$3,999.73	$5,050.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,010.09 / $8,170.29 / $16,020.18	Facility		$8,010.09	$8,170.29	$16,020.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,893.57 / $4,893.57 / $13,041.36	Professional		$4,893.57	$4,893.57	$13,041.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $6,206.41 / $6,673.56 / $6,673.56	Facility		$6,206.41	$6,673.56	$6,673.56
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $6,673.56 / $6,673.56 / $6,673.56	Professional		$6,673.56	$6,673.56	$6,673.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,541.83 / $6,541.83 / $6,541.83	Facility		$6,541.83	$6,541.83	$6,541.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,775.54 / $4,775.54 / $6,541.83	Professional		$4,775.54	$4,775.54	$6,541.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $8,010.09 / $18,022.70	Facility		$319.00	$8,010.09	$18,022.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,725.95 / $6,728.48 / $14,594.38	Professional		$4,725.95	$6,728.48	$14,594.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,815.70 / $5,116.68 / $6,673.56	Professional		$4,815.70	$5,116.68	$6,673.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $6,541.83 / $8,010.09	Facility		$597.00	$6,541.83	$8,010.09
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4,772.18 / $4,775.54 / $11,935.03	Professional		$4,772.18	$4,775.54	$11,935.03
United Facility/Professional Facility Modifier Low / Median / High Price $10,680.11 / $10,680.11 / $10,680.11	Facility		$10,680.11	$10,680.11	$10,680.11
United Facility/Professional Professional Modifier Low / Median / High Price $2,664.10 / $4,947.35 / $7,326.26	Professional		$2,664.10	$4,947.35	$7,326.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,815.70 / $4,815.70 / $5,004.42	Facility		$4,815.70	$4,815.70	$5,004.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $4,815.70 / $4,815.70 / $5,116.68	Professional		$4,815.70	$4,815.70	$5,116.68