Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,623.41 / $8,128.31	Facility		$2,570.40	$5,623.41	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,073.80 / $7,585.78	Professional		$3,090.30	$4,073.80	$7,585.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $14,454.40	Facility		$7,244.36	$7,244.36	$14,454.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $12,022.64	Professional		$4,265.80	$4,265.80	$12,022.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,888.44 / $5,888.44	Facility		$5,495.41	$5,888.44	$5,888.44
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $12,302.69 / $50,118.72	Facility		$4,677.35	$12,302.69	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $7,079.46	Professional		$3,467.37	$3,467.37	$7,079.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $11,748.98 / $27,542.29	Facility		$7,244.36	$11,748.98	$27,542.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $7,943.28 / $13,803.84	Professional		$4,466.84	$7,943.28	$13,803.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,466.84 / $5,011.87	Professional		$4,265.80	$4,466.84	$5,011.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $6,918.31 / $6,918.31	Professional		$4,677.35	$6,918.31	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,623.41 / $9,549.93	Facility		$2,884.03	$5,623.41	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,801.89 / $5,888.44	Professional		$2,344.23	$3,801.89	$5,888.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,265.80 / $4,365.16	Facility		$4,073.80	$4,265.80	$4,365.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,466.84	Professional		$4,265.80	$4,265.80	$4,466.84