Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,628.49 / $4,296.87 / $7,953.72	Facility		$3,628.49	$4,296.87	$7,953.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,628.49 / $4,310.35 / $6,225.01	Professional		$3,628.49	$4,310.35	$6,225.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,873.81 / $10,071.29 / $19,747.62	Facility		$9,873.81	$10,071.29	$19,747.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,950.24 / $7,950.24 / $17,021.46	Professional		$7,950.24	$7,950.24	$17,021.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $7,650.47 / $8,226.31 / $8,226.31	Facility		$7,650.47	$8,226.31	$8,226.31
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $8,226.31 / $8,226.31 / $8,226.31	Professional		$8,226.31	$8,226.31	$8,226.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,957.05 / $7,957.05 / $7,957.05	Facility		$7,957.05	$7,957.05	$7,957.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,763.49 / $6,763.49 / $7,957.05	Professional		$6,763.49	$6,763.49	$7,957.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $9,873.81 / $22,216.07	Facility		$319.00	$9,873.81	$22,216.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,825.55 / $7,405.36 / $18,069.07	Professional		$5,825.55	$7,405.36	$18,069.07
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,848.00 / $4,848.00 / $4,848.00	Facility		$4,848.00	$4,848.00	$4,848.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,653.50 / $6,307.19 / $8,226.31	Professional		$5,653.50	$6,307.19	$8,226.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $7,957.05 / $9,873.81	Facility		$597.00	$7,957.05	$9,873.81
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $6,102.50 / $6,763.49 / $14,704.69	Professional		$6,102.50	$6,763.49	$14,704.69
United Facility/Professional Facility Modifier Low / Median / High Price $11,938.27 / $11,938.27 / $11,938.27	Facility		$11,938.27	$11,938.27	$11,938.27
United Facility/Professional Professional Modifier Low / Median / High Price $3,283.96 / $5,902.74 / $8,510.48	Professional		$3,283.96	$5,902.74	$8,510.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $5,936.18 / $5,936.18 / $6,168.79	Facility		$5,936.18	$5,936.18	$6,168.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $5,936.18 / $5,936.18 / $6,307.19	Professional		$5,936.18	$5,936.18	$6,307.19