Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $6,760.83 / $9,549.93	Facility		$3,090.30	$6,760.83	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,365.16 / $7,079.46	Professional		$3,467.37	$4,365.16	$7,079.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $16,982.44	Facility		$8,511.38	$8,511.38	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $15,488.17	Professional		$6,456.54	$6,456.54	$15,488.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,079.46 / $7,079.46	Facility		$6,456.54	$7,079.46	$7,079.46
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Professional		$7,079.46	$7,079.46	$7,079.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $13,489.63 / $50,118.72	Facility		$4,786.30	$13,489.63	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $8,511.38	Professional		$4,073.80	$4,073.80	$8,511.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $14,125.38 / $33,113.11	Facility		$8,511.38	$14,125.38	$33,113.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $8,912.51 / $16,595.87	Professional		$5,370.32	$8,912.51	$16,595.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Facility		$4,365.16	$4,365.16	$4,365.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,370.32 / $5,370.32	Professional		$5,011.87	$5,370.32	$5,370.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $50,118.72 / $75,857.76	Facility		$9,332.54	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $8,128.31 / $8,128.31	Professional		$5,623.41	$8,128.31	$8,128.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $8,709.64 / $10,232.93	Facility		$3,162.28	$8,709.64	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,897.79 / $7,079.46	Professional		$2,818.38	$4,897.79	$7,079.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,011.87 / $5,011.87	Facility		$4,365.16	$5,011.87	$5,011.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,370.32	Professional		$5,011.87	$5,011.87	$5,370.32