Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,757.15 / $3,991.23 / $7,154.10	Facility		$1,757.15	$3,991.23	$7,154.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,330.41 / $1,650.46 / $2,133.67	Professional		$1,330.41	$1,650.46	$2,133.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,510.21 / $2,510.21 / $5,873.89	Facility		$2,510.21	$2,510.21	$5,873.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $3,997.50	Professional		$1,500.00	$1,500.00	$3,997.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,510.21 / $2,510.21 / $2,510.21	Facility		$2,510.21	$2,510.21	$2,510.21
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,832.45 / $2,510.21 / $2,510.21	Professional		$1,832.45	$2,510.21	$2,510.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,773.78 / $5,083.43 / $6,513.91	Facility		$2,773.78	$5,083.43	$6,513.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,231.30 / $3,663.18 / $12,099.21	Professional		$2,231.30	$3,663.18	$12,099.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $3,012.25 / $5,647.97	Facility		$294.00	$3,012.25	$5,647.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,635.72 / $3,313.48 / $5,447.16	Professional		$2,635.72	$3,313.48	$5,447.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,133.67 / $2,510.21 / $4,551.75	Professional		$2,133.67	$2,510.21	$4,551.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,447.46 / $6,124.63 / $6,513.91	Facility		$2,447.46	$6,124.63	$6,513.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,631.64 / $1,882.66 / $6,278.37	Professional		$1,631.64	$1,882.66	$6,278.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.29 / $1,506.13 / $3,940.65	Professional		$1,054.29	$1,506.13	$3,940.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,510.21 / $2,886.68 / $2,886.68	Facility		$2,510.21	$2,886.68	$2,886.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,133.67 / $2,510.21 / $3,051.42	Professional		$2,133.67	$2,510.21	$3,051.42