Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,888.44 / $8,511.38	Facility		$2,691.53	$5,888.44	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,890.45 / $5,754.40	Professional		$2,754.23	$3,890.45	$5,754.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $15,135.61	Facility		$7,585.78	$7,585.78	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $12,882.50	Professional		$3,981.07	$3,981.07	$12,882.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $6,165.95 / $6,165.95	Facility		$5,754.40	$6,165.95	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $11,481.54 / $50,118.72	Facility		$4,466.84	$11,481.54	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $7,413.10	Professional		$3,235.94	$3,235.94	$7,413.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $28,840.32	Facility		$7,585.78	$12,302.69	$28,840.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $7,943.28 / $14,454.40	Professional		$4,677.35	$7,943.28	$14,454.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,623.41	Facility		$5,370.32	$5,370.32	$5,623.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,677.35 / $5,370.32	Professional		$4,466.84	$4,677.35	$5,370.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $50,118.72 / $75,857.76	Facility		$11,481.54	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $7,244.36 / $7,244.36	Professional		$4,897.79	$7,244.36	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $7,585.78 / $8,912.51	Facility		$2,691.53	$7,585.78	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,981.07 / $6,165.95	Professional		$2,454.71	$3,981.07	$6,165.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $5,370.32 / $6,456.54	Facility		$4,265.80	$5,370.32	$6,456.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,677.35 / $5,370.32	Professional		$4,466.84	$4,677.35	$5,370.32