Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,801.89 / $10,964.78	Facility		$1,949.84	$3,801.89	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $4,786.30	Professional		$1,548.82	$1,949.84	$4,786.30
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 $1,412.54 / $1,819.70 / $4,570.88	Professional		$1,412.54	$1,819.70	$4,570.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $37,153.52	Facility		$2,398.83	$2,398.83	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,884.03 / $50,118.72	Facility		$34.67	$2,884.03	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,951.21 / $7,762.47	Professional		$1,621.81	$2,951.21	$7,762.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,995.26 / $4,570.88	Facility		$1,122.02	$1,995.26	$4,570.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $3,311.31	Professional		$1,778.28	$2,398.83	$3,311.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,290.87 / $3,548.13	Professional		$1,348.96	$2,290.87	$3,548.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $50,118.72 / $75,857.76	Facility		$1,659.59	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,290.87 / $3,715.35	Professional		$398.11	$2,290.87	$3,715.35
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 $1,318.26 / $1,949.84 / $5,128.61	Professional		$1,318.26	$1,949.84	$5,128.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $4,897.79	Facility		$1,380.38	$1,819.70	$4,897.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $5,011.87	Professional		$1,380.38	$2,089.30	$5,011.87