Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,890.45 / $10,964.78	Facility		$1,905.46	$3,890.45	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,570.40 / $5,128.61	Professional		$1,621.81	$2,570.40	$5,128.61
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 $1,737.80 / $2,290.87 / $5,495.41	Professional		$1,737.80	$2,290.87	$5,495.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $37,153.52	Facility		$3,019.95	$3,019.95	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,630.78 / $50,118.72	Facility		$34.67	$3,630.78	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,311.31 / $7,943.28	Professional		$1,698.24	$3,311.31	$7,943.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $7,762.47	Facility		$2,137.96	$2,818.38	$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 $1,445.44 / $2,454.71 / $3,890.45	Professional		$1,445.44	$2,454.71	$3,890.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $50,118.72 / $75,857.76	Facility		$1,548.82	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,754.23 / $3,467.37	Professional		$398.11	$2,754.23	$3,467.37
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 $1,862.09 / $2,691.53 / $6,309.57	Professional		$1,862.09	$2,691.53	$6,309.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,630.27 / $5,248.07	Facility		$1,659.59	$2,630.27	$5,248.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,630.27 / $7,585.78	Professional		$1,445.44	$2,630.27	$7,585.78