Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,388.44 / $10,964.78	Facility		$1,778.28	$3,388.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,621.81 / $3,235.94	Professional		$1,348.96	$1,621.81	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $5,623.41 / $12,302.69	Facility		$3,311.31	$5,623.41	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $2,754.23	Professional		$1,202.26	$1,412.54	$2,754.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $37,153.52	Facility		$2,089.30	$2,089.30	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,511.89 / $7,762.47	Facility		$34.67	$2,511.89	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,041.74 / $5,370.32	Professional		$1,071.52	$2,041.74	$5,370.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,698.24 / $4,466.84	Facility		$1,096.48	$1,698.24	$4,466.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $3,311.31	Professional		$1,584.89	$2,089.30	$3,311.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,949.84 / $3,090.30	Professional		$1,096.48	$1,949.84	$3,090.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $50,118.72 / $75,857.76	Facility		$1,380.38	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,949.84 / $3,388.44	Professional		$398.11	$1,949.84	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,073.80 / $9,120.11	Facility		$1,412.54	$4,073.80	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,621.81 / $3,715.35	Professional		$1,096.48	$1,621.81	$3,715.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,737.80 / $5,011.87	Facility		$1,174.90	$1,737.80	$5,011.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,737.80 / $3,890.45	Professional		$1,174.90	$1,737.80	$3,890.45