Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,267.96 / $6,238.34 / $11,547.50	Facility		$5,267.96	$6,238.34	$11,547.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,267.96 / $6,335.83 / $9,037.68	Professional		$5,267.96	$6,335.83	$9,037.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,335.11 / $14,621.81 / $28,670.22	Facility		$14,335.11	$14,621.81	$28,670.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,609.76 / $8,609.76 / $22,945.01	Professional		$8,609.76	$8,609.76	$22,945.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $11,107.20 / $11,943.23 / $11,943.23	Facility		$11,107.20	$11,943.23	$11,943.23
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $11,943.23 / $11,943.23 / $11,943.23	Professional		$11,943.23	$11,943.23	$11,943.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,418.01 / $9,418.01 / $9,418.01	Facility		$9,418.01	$9,418.01	$9,418.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,875.15 / $6,875.15 / $9,418.01	Professional		$6,875.15	$6,875.15	$9,418.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $14,335.11 / $32,254.00	Facility		$319.00	$14,335.11	$32,254.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8,457.70 / $10,751.33 / $26,118.57	Professional		$8,457.70	$10,751.33	$26,118.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,618.34 / $9,156.99 / $11,943.23	Professional		$8,618.34	$9,156.99	$11,943.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $9,418.01 / $14,335.11	Facility		$597.00	$9,418.01	$14,335.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $6,875.15 / $8,540.45 / $21,097.97	Professional		$6,875.15	$8,540.45	$21,097.97
United Facility/Professional Facility Modifier Low / Median / High Price $7,164.85 / $7,164.85 / $7,164.85	Facility		$7,164.85	$7,164.85	$7,164.85
United Facility/Professional Professional Modifier Low / Median / High Price $4,767.76 / $8,601.07 / $13,111.33	Professional		$4,767.76	$8,601.07	$13,111.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $8,618.34 / $8,618.34 / $8,956.06	Facility		$8,618.34	$8,618.34	$8,956.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $8,618.34 / $8,618.34 / $9,156.99	Professional		$8,618.34	$8,618.34	$9,156.99