Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,162.28 / $10,964.78	Facility		$1,479.11	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $3,715.35	Professional		$1,122.02	$1,348.96	$3,715.35
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 $977.24 / $1,230.27 / $3,019.95	Professional		$977.24	$1,230.27	$3,019.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $37,153.52	Facility		$1,659.59	$1,659.59	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,995.26 / $50,118.72	Facility		$34.67	$1,995.26	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,949.84 / $5,370.32	Professional		$1,023.29	$1,949.84	$5,370.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,862.09 / $4,073.80	Facility		$1,230.27	$1,862.09	$4,073.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $2,137.96	Professional		$1,096.48	$1,479.11	$2,137.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,737.80 / $2,511.89	Professional		$933.25	$1,737.80	$2,511.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $50,118.72 / $75,857.76	Facility		$1,288.25	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,584.89 / $2,570.40	Professional		$398.11	$1,584.89	$2,570.40
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 $912.01 / $1,318.26 / $3,548.13	Professional		$912.01	$1,318.26	$3,548.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,513.56 / $4,073.80	Facility		$954.99	$1,513.56	$4,073.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,548.82 / $3,715.35	Professional		$954.99	$1,548.82	$3,715.35