Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $10,964.78	Facility		$1,819.70	$3,630.78	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $4,265.80	Professional		$1,348.96	$1,737.80	$4,265.80
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 $1,174.90 / $1,548.82 / $3,981.07	Professional		$1,174.90	$1,548.82	$3,981.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $37,153.52	Facility		$2,041.74	$2,041.74	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,511.89 / $50,118.72	Facility		$34.67	$2,511.89	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,570.40 / $6,606.93	Professional		$1,412.54	$2,570.40	$6,606.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,862.09 / $5,495.41	Facility		$1,548.82	$1,862.09	$5,495.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $2,884.03	Professional		$1,548.82	$2,041.74	$2,884.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $3,019.95	Professional		$1,230.27	$1,778.28	$3,019.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $50,118.72 / $75,857.76	Facility		$1,548.82	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,949.84 / $3,162.28	Professional		$398.11	$1,949.84	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,168.69 / $9,332.54	Facility		$1,513.56	$4,168.69	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $4,365.16	Professional		$1,202.26	$1,659.59	$4,365.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $4,677.35	Facility		$1,174.90	$1,548.82	$4,677.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,778.28 / $4,570.88	Professional		$1,174.90	$1,778.28	$4,570.88