Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $5,754.40 / $12,022.64	Facility		$1,905.46	$5,754.40	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,122.02 / $2,454.71	Professional		$371.54	$1,122.02	$2,454.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,370.32 / $12,302.69	Facility		$2,884.03	$5,370.32	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,819.70	Professional		$812.83	$1,047.13	$1,819.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,905.46 / $37,153.52	Facility		$776.25	$1,905.46	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,905.46 / $2,691.53	Professional		$776.25	$1,905.46	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $53,703.18	Facility		$1,862.09	$1,862.09	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $2,187.76	Facility		$1,071.52	$1,445.44	$2,187.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,737.80 / $4,168.69	Professional		$426.58	$1,737.80	$4,168.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,479.11 / $2,290.87	Professional		$912.01	$1,479.11	$2,290.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,168.69 / $9,332.54	Facility		$1,513.56	$4,168.69	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,698.24 / $4,168.69	Professional		$1,047.13	$1,698.24	$4,168.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,445.44 / $2,238.72	Facility		$912.01	$1,445.44	$2,238.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,548.82 / $2,398.83	Professional		$912.01	$1,548.82	$2,398.83