Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15,855.56 / $18,776.22 / $34,755.69	Facility		$15,855.56	$18,776.22	$34,755.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15,855.56 / $19,739.45 / $27,201.69	Professional		$15,855.56	$19,739.45	$27,201.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43,145.97 / $44,008.89 / $86,291.94	Facility		$43,145.97	$44,008.89	$86,291.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23,953.47 / $23,953.47 / $66,869.60	Professional		$23,953.47	$23,953.47	$66,869.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $33,430.56 / $35,946.83 / $35,946.83	Facility		$33,430.56	$35,946.83	$35,946.83
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $35,946.83 / $35,946.83 / $35,946.83	Professional		$35,946.83	$35,946.83	$35,946.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30,391.12 / $30,391.12 / $30,391.12	Facility		$30,391.12	$30,391.12	$30,391.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22,185.52 / $22,185.52 / $30,391.12	Professional		$22,185.52	$22,185.52	$30,391.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $43,145.97 / $97,078.43	Facility		$319.00	$43,145.97	$97,078.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25,456.12 / $33,431.68 / $78,611.96	Professional		$25,456.12	$33,431.68	$78,611.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25,939.56 / $27,560.79 / $35,946.83	Professional		$25,939.56	$27,560.79	$35,946.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $30,391.12 / $43,145.97	Facility		$597.00	$30,391.12	$43,145.97
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $22,185.52 / $25,705.14 / $64,287.50	Professional		$22,185.52	$25,705.14	$64,287.50
United Facility/Professional Professional Modifier Low / Median / High Price $14,350.04 / $25,887.58 / $39,462.60	Professional		$14,350.04	$25,887.58	$39,462.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $25,939.56 / $25,939.56 / $26,956.03	Facility		$25,939.56	$25,939.56	$26,956.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $25,939.56 / $25,939.56 / $27,560.79	Professional		$25,939.56	$25,939.56	$27,560.79