Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,599.72 / $5,447.01 / $10,082.70	Facility		$4,599.72	$5,447.01	$10,082.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,599.72 / $5,665.46 / $7,891.24	Professional		$4,599.72	$5,665.46	$7,891.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,516.70 / $12,767.03 / $25,033.40	Facility		$12,516.70	$12,767.03	$25,033.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,450.05 / $7,450.05 / $19,854.38	Professional		$7,450.05	$7,450.05	$19,854.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $9,698.24 / $10,428.21 / $10,428.21	Facility		$9,698.24	$10,428.21	$10,428.21
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10,428.21 / $10,428.21 / $10,428.21	Professional		$10,428.21	$10,428.21	$10,428.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,077.06 / $9,077.06 / $9,077.06	Facility		$9,077.06	$9,077.06	$9,077.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,626.25 / $6,626.25 / $9,077.06	Professional		$6,626.25	$6,626.25	$9,077.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $12,516.70 / $28,162.58	Facility		$319.00	$12,516.70	$28,162.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7,384.85 / $9,595.31 / $22,805.43	Professional		$7,384.85	$9,595.31	$22,805.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,525.11 / $7,995.42 / $10,428.21	Professional		$7,525.11	$7,995.42	$10,428.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $9,077.06 / $12,516.70	Facility		$597.00	$9,077.06	$12,516.70
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $6,626.25 / $7,457.10 / $18,649.88	Professional		$6,626.25	$7,457.10	$18,649.88
United Facility/Professional Professional Modifier Low / Median / High Price $4,162.96 / $7,510.02 / $11,265.03	Professional		$4,162.96	$7,510.02	$11,265.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $7,525.11 / $7,525.11 / $7,819.99	Facility		$7,525.11	$7,525.11	$7,819.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $7,525.11 / $7,525.11 / $7,995.42	Professional		$7,525.11	$7,525.11	$7,995.42