Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,009.15 / $33,557.74 / $93,029.69	Facility		$10,009.15	$33,557.74	$93,029.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,452.23 / $10,040.56 / $14,500.58	Professional		$8,452.23	$10,040.56	$14,500.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12,562.19 / $12,562.19 / $35,449.56	Professional		$12,562.19	$12,562.19	$35,449.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $17,821.04 / $19,162.41 / $19,162.41	Facility		$17,821.04	$19,162.41	$19,162.41
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $19,162.41 / $19,162.41 / $19,162.41	Professional		$19,162.41	$19,162.41	$19,162.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,034.23 / $13,034.23 / $13,034.23	Facility		$13,034.23	$13,034.23	$13,034.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,079.10 / $11,079.10 / $13,034.23	Professional		$11,079.10	$11,079.10	$13,034.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $23,000.09 / $51,750.20	Facility		$319.00	$23,000.09	$51,750.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13,570.05 / $17,250.07 / $41,906.16	Professional		$13,570.05	$17,250.07	$41,906.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $13,827.79 / $14,692.02 / $19,162.41	Professional		$13,827.79	$14,692.02	$19,162.41
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,561.87 / $4,561.87 / $26,100.66	Facility		$4,561.87	$4,561.87	$26,100.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $13,034.23 / $23,000.09	Facility		$597.00	$13,034.23	$23,000.09
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $11,079.10 / $13,034.23 / $34,252.97	Professional		$11,079.10	$13,034.23	$34,252.97
United Facility/Professional Professional Modifier Low / Median / High Price $7,649.66 / $13,751.66 / $19,824.37	Professional		$7,649.66	$13,751.66	$19,824.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $13,827.79 / $13,827.79 / $14,369.64	Facility		$13,827.79	$13,827.79	$14,369.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $13,827.79 / $13,827.79 / $14,692.02	Professional		$13,827.79	$13,827.79	$14,692.02