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 $660.69 / $1,778.28 / $2,398.83	Professional		$660.69	$1,778.28	$2,398.83
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 $831.76 / $1,023.29 / $1,862.09	Professional		$831.76	$1,023.29	$1,862.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $16,595.87	Facility		$2,884.03	$2,884.03	$16,595.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $50,118.72	Facility		$2,951.21	$2,951.21	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $9,332.54 / $9,332.54	Professional		$2,454.71	$9,332.54	$9,332.54
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 / $3,162.28 / $4,466.84	Professional		$2,290.87	$3,162.28	$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 $1,047.13 / $2,630.27 / $4,466.84	Professional		$1,047.13	$2,630.27	$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 $758.58 / $2,454.71 / $6,025.60	Professional		$758.58	$2,454.71	$6,025.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,819.70 / $1,819.70	Facility		$1,000.00	$1,819.70	$1,819.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,819.70 / $3,981.07	Professional		$1,174.90	$1,819.70	$3,981.07