Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,102.62 / $4,858.34 / $8,993.02	Facility		$4,102.62	$4,858.34	$8,993.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,102.62 / $4,977.42 / $7,038.42	Professional		$4,102.62	$4,977.42	$7,038.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,164.01 / $11,387.29 / $22,328.02	Facility		$11,164.01	$11,387.29	$22,328.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,433.43 / $6,433.43 / $17,702.52	Professional		$6,433.43	$6,433.43	$17,702.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $8,650.14 / $9,301.23 / $9,301.23	Facility		$8,650.14	$9,301.23	$9,301.23
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $9,301.23 / $9,301.23 / $9,301.23	Professional		$9,301.23	$9,301.23	$9,301.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,136.27 / $8,136.27 / $8,136.27	Facility		$8,136.27	$8,136.27	$8,136.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,939.48 / $5,939.48 / $8,136.27	Professional		$5,939.48	$5,939.48	$8,136.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $11,164.01 / $25,119.02	Facility		$319.00	$11,164.01	$25,119.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6,586.77 / $8,430.01 / $20,340.83	Professional		$6,586.77	$8,430.01	$20,340.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,711.85 / $7,131.35 / $9,301.23	Professional		$6,711.85	$7,131.35	$9,301.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $8,136.27 / $11,164.01	Facility		$597.00	$8,136.27	$11,164.01
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $5,939.48 / $6,651.20 / $16,634.37	Professional		$5,939.48	$6,651.20	$16,634.37
United Facility/Professional Professional Modifier Low / Median / High Price $3,713.06 / $6,906.95 / $10,210.93	Professional		$3,713.06	$6,906.95	$10,210.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $6,711.85 / $6,711.85 / $6,974.86	Facility		$6,711.85	$6,711.85	$6,974.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $6,711.85 / $6,711.85 / $7,131.35	Professional		$6,711.85	$6,711.85	$7,131.35