Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,370.32 / $12,022.64	Facility		$2,454.71	$5,370.32	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $3,890.45 / $5,495.41	Professional		$1,258.93	$3,890.45	$5,495.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,220.18 / $19,054.61	Facility		$5,011.87	$11,220.18	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $1,949.84	Professional		$831.76	$1,023.29	$1,949.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $28,183.83	Facility		$1,584.89	$1,584.89	$28,183.83
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $8,317.64 / $53,703.18	Facility		$7,762.47	$8,317.64	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25,118.86 / $25,118.86 / $25,118.86	Professional		$25,118.86	$25,118.86	$25,118.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $21,877.62 / $33,113.11	Facility		$14,791.08	$21,877.62	$33,113.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $15,488.17 / $23,988.33	Professional		$9,120.11	$15,488.17	$23,988.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $7,413.10 / $11,748.98	Professional		$1,000.00	$7,413.10	$11,748.98
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 $2,818.38 / $8,128.31 / $20,417.38	Facility		$2,818.38	$8,128.31	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,621.81 / $5,011.87	Professional		$977.24	$1,621.81	$5,011.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $5,623.41 / $5,623.41	Facility		$933.25	$5,623.41	$5,623.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $5,623.41 / $11,748.98	Professional		$1,000.00	$5,623.41	$11,748.98