Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $5,754.40 / $12,022.64	Facility		$2,238.72	$5,754.40	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,089.30 / $2,951.21	Professional		$1,047.13	$2,089.30	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $11,481.54 / $18,620.87	Facility		$4,786.30	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,479.11	Professional		$630.96	$776.25	$1,479.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $16,595.87	Facility		$2,041.74	$2,041.74	$16,595.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $50,118.72	Facility		$3,311.31	$3,311.31	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $9,120.11 / $9,120.11	Professional		$2,454.71	$9,120.11	$9,120.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,467.37 / $7,943.28	Facility		$2,089.30	$3,467.37	$7,943.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,090.30 / $4,466.84	Professional		$2,290.87	$3,090.30	$4,466.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $2,570.40 / $4,466.84	Professional		$758.58	$2,570.40	$4,466.84
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 $2,344.23 / $5,128.61 / $12,882.50	Facility		$2,344.23	$5,128.61	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,819.70 / $4,365.16	Professional		$549.54	$1,819.70	$4,365.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,819.70 / $1,819.70	Facility		$724.44	$1,819.70	$1,819.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,819.70 / $3,981.07	Professional		$851.14	$1,819.70	$3,981.07