Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $5,370.32 / $10,964.78	Facility		$1,819.70	$5,370.32	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $1,047.13	Professional		$575.44	$794.33	$1,047.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,762.47 / $13,803.84	Facility		$3,981.07	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $1,445.44	Professional		$741.31	$870.96	$1,445.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $16,595.87	Facility		$1,258.93	$1,258.93	$16,595.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $50,118.72	Facility		$1,737.80	$1,737.80	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Professional		$4,570.88	$4,570.88	$4,570.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,318.26 / $2,398.83	Professional		$870.96	$1,318.26	$2,398.83
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 $2,398.83 / $5,754.40 / $13,489.63	Facility		$2,398.83	$5,754.40	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $2,344.23	Professional		$724.44	$1,023.29	$2,344.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $912.01 / $912.01	Facility		$724.44	$912.01	$912.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $912.01 / $2,041.74	Professional		$851.14	$912.01	$2,041.74