Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,048.54 / $8,346.91 / $15,450.50	Facility		$7,048.54	$8,346.91	$15,450.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,048.54 / $9,885.95 / $12,092.43	Professional		$7,048.54	$9,885.95	$12,092.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,180.41 / $19,564.02 / $38,360.82	Facility		$19,180.41	$19,564.02	$38,360.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11,663.83 / $11,663.83 / $31,084.10	Professional		$11,663.83	$11,663.83	$31,084.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $14,861.45 / $15,980.05 / $15,980.05	Facility		$14,861.45	$15,980.05	$15,980.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $15,980.05 / $15,980.05 / $15,980.05	Professional		$15,980.05	$15,980.05	$15,980.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,847.37 / $13,847.37 / $13,847.37	Facility		$13,847.37	$13,847.37	$13,847.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,108.58 / $10,108.58 / $13,847.37	Professional		$10,108.58	$10,108.58	$13,847.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $19,180.41 / $43,155.92	Facility		$319.00	$19,180.41	$43,155.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11,316.44 / $16,111.54 / $34,946.71	Professional		$11,316.44	$16,111.54	$34,946.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $11,531.36 / $12,252.07 / $15,980.05	Professional		$11,531.36	$12,252.07	$15,980.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $13,847.37 / $19,180.41	Facility		$597.00	$13,847.37	$19,180.41
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $10,108.58 / $11,427.15 / $28,578.81	Professional		$10,108.58	$11,427.15	$28,578.81
United Facility/Professional Professional Modifier Low / Median / High Price $6,379.26 / $11,508.25 / $17,542.98	Professional		$6,379.26	$11,508.25	$17,542.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $11,531.36 / $11,531.36 / $11,983.23	Facility		$11,531.36	$11,531.36	$11,983.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $11,531.36 / $11,531.36 / $12,252.07	Professional		$11,531.36	$11,531.36	$12,252.07