Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $5,248.07 / $14,125.38	Facility		$1,348.96	$5,248.07	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $2,691.53	Professional		$870.96	$1,096.48	$2,691.53
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 $794.33 / $1,000.00 / $2,454.71	Professional		$794.33	$1,000.00	$2,454.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,467.37 / $13,489.63	Facility		$1,380.38	$3,467.37	$13,489.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $50,118.72	Facility		$1,659.59	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,479.11 / $4,466.84	Professional		$977.24	$1,479.11	$4,466.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,096.48 / $3,235.94	Facility		$794.33	$1,096.48	$3,235.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $2,089.30	Professional		$1,047.13	$1,445.44	$2,089.30
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,288.25 / $2,041.74	Professional		$831.76	$1,288.25	$2,041.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $50,118.72 / $75,857.76	Facility		$1,023.29	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,288.25 / $2,630.27	Professional		$398.11	$1,288.25	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,128.61 / $13,182.57	Facility		$2,344.23	$5,128.61	$13,182.57
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $3,019.95	Professional		$851.14	$1,202.26	$3,019.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,174.90 / $4,570.88	Facility		$794.33	$1,174.90	$4,570.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,202.26 / $2,951.21	Professional		$794.33	$1,202.26	$2,951.21