Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $10,471.29 / $15,135.61	Facility		$4,786.30	$10,471.29	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $6,309.57 / $10,471.29	Professional		$4,570.88	$6,309.57	$10,471.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $13,489.63 / $26,915.35	Facility		$13,489.63	$13,489.63	$26,915.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $20,892.96	Professional		$6,456.54	$6,456.54	$20,892.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $10,964.78 / $10,964.78	Facility		$10,232.93	$10,964.78	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $10,964.78 / $10,964.78	Professional		$10,964.78	$10,964.78	$10,964.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $19,498.45 / $50,118.72	Facility		$8,317.64	$19,498.45	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $13,182.57	Professional		$6,025.60	$6,025.60	$13,182.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $21,877.62 / $51,286.14	Facility		$13,489.63	$21,877.62	$51,286.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $14,125.38 / $25,703.96	Professional		$7,943.28	$14,125.38	$25,703.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $7,244.36	Facility		$6,918.31	$6,918.31	$7,244.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $7,943.28 / $8,317.64	Professional		$6,918.31	$7,943.28	$8,317.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $50,118.72 / $75,857.76	Facility		$14,791.08	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $12,882.50 / $12,882.50	Professional		$8,709.64	$12,882.50	$12,882.50
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $8,317.64 / $14,454.40	Facility		$4,365.16	$8,317.64	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $7,079.46 / $10,964.78	Professional		$4,365.16	$7,079.46	$10,964.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $7,943.28 / $8,128.31	Facility		$6,918.31	$7,943.28	$8,128.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $7,943.28 / $8,317.64	Professional		$6,918.31	$7,943.28	$8,317.64