Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,890.45 / $10,964.78	Facility		$2,398.83	$3,890.45	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $6,309.57	Professional		$2,089.30	$2,630.27	$6,309.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $9,772.37 / $18,620.87	Facility		$4,570.88	$9,772.37	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $5,888.44	Professional		$1,737.80	$2,290.87	$5,888.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $37,153.52	Facility		$2,951.21	$2,951.21	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,548.13 / $53,703.18	Facility		$34.67	$3,548.13	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $10,471.29	Professional		$2,089.30	$3,981.07	$10,471.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,073.80 / $7,762.47	Facility		$2,398.83	$4,073.80	$7,762.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,951.21 / $4,168.69	Professional		$2,137.96	$2,951.21	$4,168.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,398.83 / $3,801.89	Professional		$1,412.54	$2,398.83	$3,801.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $50,118.72 / $75,857.76	Facility		$2,290.87	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,754.23 / $3,388.44	Professional		$398.11	$2,754.23	$3,388.44
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 $1,995.26 / $2,691.53 / $6,165.95	Professional		$1,995.26	$2,691.53	$6,165.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,630.27 / $7,762.47	Facility		$1,659.59	$2,630.27	$7,762.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,630.27 / $7,762.47	Professional		$1,412.54	$2,630.27	$7,762.47