Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,128.61 / $10,964.78	Facility		$2,570.40	$5,128.61	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,265.80 / $9,549.93	Professional		$3,388.44	$4,265.80	$9,549.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $8,511.38 / $16,595.87	Facility		$4,466.84	$8,511.38	$16,595.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,715.35 / $9,332.54	Professional		$2,884.03	$3,715.35	$9,332.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $16,595.87	Facility		$4,897.79	$4,897.79	$16,595.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $5,888.44 / $50,118.72	Facility		$34.67	$5,888.44	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $6,606.93 / $17,378.01	Professional		$3,548.13	$6,606.93	$17,378.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,606.93 / $12,589.25	Facility		$3,890.45	$6,606.93	$12,589.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,897.79 / $6,760.83	Professional		$3,548.13	$4,897.79	$6,760.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,981.07 / $6,309.57	Professional		$2,454.71	$3,981.07	$6,309.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $50,118.72 / $75,857.76	Facility		$3,890.45	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,786.30 / $5,623.41	Professional		$3,801.89	$4,786.30	$5,623.41
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 $3,235.94 / $4,466.84 / $10,232.93	Professional		$3,235.94	$4,466.84	$10,232.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,265.80 / $8,709.64	Facility		$2,754.23	$4,265.80	$8,709.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $4,265.80 / $9,772.37	Professional		$2,454.71	$4,265.80	$9,772.37