Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,981.76 / $5,899.41 / $10,920.10	Facility		$4,981.76	$5,899.41	$10,920.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,981.76 / $5,899.41 / $8,546.64	Professional		$4,981.76	$5,899.41	$8,546.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,556.26 / $13,827.39 / $27,112.52	Facility		$13,556.26	$13,827.39	$27,112.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,777.58 / $6,777.58 / $20,671.61	Professional		$6,777.58	$6,777.58	$20,671.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $10,503.73 / $11,294.33 / $11,294.33	Facility		$10,503.73	$11,294.33	$11,294.33
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $11,294.33 / $11,294.33 / $11,294.33	Professional		$11,294.33	$11,294.33	$11,294.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,732.85 / $8,732.85 / $8,732.85	Facility		$8,732.85	$8,732.85	$8,732.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,374.98 / $6,374.98 / $8,732.85	Professional		$6,374.98	$6,374.98	$8,732.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $13,556.26 / $30,501.59	Facility		$319.00	$13,556.26	$30,501.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7,378.13 / $10,167.20 / $24,699.51	Professional		$7,378.13	$10,167.20	$24,699.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,150.11 / $8,659.49 / $11,294.33	Professional		$8,150.11	$8,659.49	$11,294.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $8,732.85 / $13,556.26	Facility		$597.00	$8,732.85	$13,556.26
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $6,374.98 / $8,076.46 / $19,562.81	Professional		$6,374.98	$8,076.46	$19,562.81
United Facility/Professional Facility Modifier Low / Median / High Price $5,544.86 / $5,544.86 / $5,544.86	Facility		$5,544.86	$5,544.86	$5,544.86
United Facility/Professional Professional Modifier Low / Median / High Price $4,508.72 / $7,741.84 / $11,684.50	Professional		$4,508.72	$7,741.84	$11,684.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $8,150.11 / $8,150.11 / $8,469.49	Facility		$8,150.11	$8,150.11	$8,469.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $8,150.11 / $8,150.11 / $8,659.49	Professional		$8,150.11	$8,150.11	$8,659.49