Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,456.54 / $16,982.44	Facility		$2,454.71	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $5,623.41 / $10,232.93	Professional		$794.33	$5,623.41	$10,232.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,481.54 / $26,302.68	Facility		$5,011.87	$11,481.54	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $1,288.25	Professional		$575.44	$724.44	$1,288.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $28,183.83	Facility		$1,288.25	$1,288.25	$28,183.83
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $19,952.62 / $53,703.18	Facility		$7,762.47	$19,952.62	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,481.54 / $51,286.14 / $51,286.14	Professional		$11,481.54	$51,286.14	$51,286.14
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 $676.08 / $11,481.54 / $19,498.45	Professional		$676.08	$11,481.54	$19,498.45
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 $724.44 / $1,258.93 / $12,882.50	Professional		$724.44	$1,258.93	$12,882.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $9,332.54 / $9,332.54	Facility		$630.96	$9,332.54	$9,332.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $9,332.54 / $19,498.45	Professional		$676.08	$9,332.54	$19,498.45