Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,073.80 / $10,964.78	Facility		$2,570.40	$4,073.80	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,235.94 / $7,413.10	Professional		$2,570.40	$3,235.94	$7,413.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $7,079.46	Professional		$2,137.96	$2,818.38	$7,079.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $37,153.52	Facility		$3,630.78	$3,630.78	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,466.84 / $50,118.72	Facility		$34.67	$4,466.84	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,677.35 / $12,022.64	Professional		$2,511.89	$4,677.35	$12,022.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,801.89 / $9,549.93	Facility		$2,630.27	$3,801.89	$9,549.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,715.35 / $5,128.61	Professional		$2,691.53	$3,715.35	$5,128.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,019.95 / $4,677.35	Professional		$1,737.80	$3,019.95	$4,677.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $50,118.72 / $75,857.76	Facility		$2,630.27	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $3,388.44 / $4,265.80	Professional		$398.11	$3,388.44	$4,265.80
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 $2,344.23 / $3,388.44 / $7,585.78	Professional		$2,344.23	$3,388.44	$7,585.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,235.94 / $7,585.78	Facility		$2,089.30	$3,235.94	$7,585.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,235.94 / $9,549.93	Professional		$1,737.80	$3,235.94	$9,549.93