Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,398.63 / $5,208.88 / $9,641.89	Facility		$4,398.63	$5,208.88	$9,641.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,398.63 / $5,233.27 / $7,546.26	Professional		$4,398.63	$5,233.27	$7,546.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,969.51 / $12,208.90 / $23,939.02	Facility		$11,969.51	$12,208.90	$23,939.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,312.49 / $7,312.49 / $19,487.78	Professional		$7,312.49	$7,312.49	$19,487.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $9,274.27 / $9,972.33 / $9,972.33	Facility		$9,274.27	$9,972.33	$9,972.33
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $9,972.33 / $9,972.33 / $9,972.33	Professional		$9,972.33	$9,972.33	$9,972.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,121.18 / $8,121.18 / $8,121.18	Facility		$8,121.18	$8,121.18	$8,121.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,928.46 / $5,928.46 / $8,121.18	Professional		$5,928.46	$5,928.46	$8,121.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $11,969.51 / $26,931.40	Facility		$319.00	$11,969.51	$26,931.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7,062.01 / $8,977.12 / $21,808.45	Professional		$7,062.01	$8,977.12	$21,808.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,196.13 / $7,645.89 / $9,972.33	Professional		$7,196.13	$7,645.89	$9,972.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $8,121.18 / $11,969.51	Facility		$597.00	$8,121.18	$11,969.51
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $5,928.46 / $7,131.10 / $18,552.74	Professional		$5,928.46	$7,131.10	$18,552.74
United Facility/Professional Professional Modifier Low / Median / High Price $3,980.97 / $7,181.71 / $10,947.67	Professional		$3,980.97	$7,181.71	$10,947.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $7,196.13 / $7,196.13 / $7,478.11	Facility		$7,196.13	$7,196.13	$7,478.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $7,196.13 / $7,196.13 / $7,645.89	Professional		$7,196.13	$7,196.13	$7,645.89