Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,442.75 / $5,261.13 / $9,738.61	Facility		$4,442.75	$5,261.13	$9,738.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,334.09 / $5,261.13 / $7,621.96	Professional		$4,334.09	$5,261.13	$7,621.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,089.57 / $12,331.36 / $24,179.14	Facility		$12,089.57	$12,331.36	$24,179.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,539.38 / $5,539.38 / $17,659.84	Professional		$5,539.38	$5,539.38	$17,659.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $9,367.29 / $10,072.36 / $10,072.36	Facility		$9,367.29	$10,072.36	$10,072.36
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10,072.36 / $10,072.36 / $10,072.36	Professional		$10,072.36	$10,072.36	$10,072.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,553.03 / $6,553.03 / $6,553.03	Facility		$6,553.03	$6,553.03	$6,553.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,783.71 / $4,783.71 / $6,553.03	Professional		$4,783.71	$4,783.71	$6,553.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $12,089.57 / $27,201.53	Facility		$319.00	$12,089.57	$27,201.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6,242.67 / $9,067.18 / $22,027.20	Professional		$6,242.67	$9,067.18	$22,027.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,268.30 / $7,722.57 / $10,072.36	Professional		$7,268.30	$7,722.57	$10,072.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $6,553.03 / $12,089.57	Facility		$597.00	$6,553.03	$12,089.57
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4,783.71 / $6,553.03 / $14,679.84	Professional		$4,783.71	$6,553.03	$14,679.84
United Facility/Professional Professional Modifier Low / Median / High Price $4,020.90 / $6,785.27 / $10,884.99	Professional		$4,020.90	$6,785.27	$10,884.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $7,268.30 / $7,268.30 / $7,553.12	Facility		$7,268.30	$7,268.30	$7,553.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $7,268.30 / $7,268.30 / $7,722.57	Professional		$7,268.30	$7,268.30	$7,722.57