Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,162.28 / $10,964.78	Facility		$1,479.11	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $3,388.44	Professional		$1,122.02	$1,445.44	$3,388.44
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 $954.99 / $1,258.93 / $3,162.28	Professional		$954.99	$1,258.93	$3,162.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $37,153.52	Facility		$1,621.81	$1,621.81	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,949.84 / $50,118.72	Facility		$34.67	$1,949.84	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,137.96 / $5,623.41	Professional		$1,148.15	$2,137.96	$5,623.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $4,466.84	Facility		$1,380.38	$1,698.24	$4,466.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $2,344.23	Professional		$1,230.27	$1,698.24	$2,344.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,348.96 / $2,089.30	Professional		$794.33	$1,348.96	$2,089.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $50,118.72 / $75,857.76	Facility		$1,258.93	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,513.56 / $1,862.09	Professional		$398.11	$1,513.56	$1,862.09
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 $1,096.48 / $1,479.11 / $3,388.44	Professional		$1,096.48	$1,479.11	$3,388.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,445.44 / $4,168.69	Facility		$933.25	$1,445.44	$4,168.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,445.44 / $4,365.16	Professional		$794.33	$1,445.44	$4,365.16