Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,677.35 / $11,220.18	Facility		$1,584.89	$4,677.35	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,548.82 / $3,235.94	Professional		$933.25	$1,548.82	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,762.47 / $13,803.84	Facility		$4,073.80	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $3,162.28	Professional		$1,071.52	$1,380.38	$3,162.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $10,964.78	Facility		$1,778.28	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,290.87 / $50,118.72	Facility		$2,187.76	$2,290.87	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,995.26 / $5,011.87	Professional		$1,174.90	$1,995.26	$5,011.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $5,011.87	Facility		$1,380.38	$1,698.24	$5,011.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $2,754.23	Professional		$1,445.44	$1,905.46	$2,754.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,479.11 / $2,344.23	Professional		$870.96	$1,479.11	$2,344.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $50,118.72 / $75,857.76	Facility		$954.99	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,621.81 / $2,137.96	Professional		$398.11	$1,621.81	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,456.54 / $16,595.87	Facility		$2,511.89	$6,456.54	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,659.59 / $3,801.89	Professional		$1,122.02	$1,659.59	$3,801.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,621.81 / $3,235.94	Facility		$1,000.00	$1,621.81	$3,235.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,621.81 / $3,467.37	Professional		$870.96	$1,621.81	$3,467.37