Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,801.89 / $10,964.78	Facility		$1,348.96	$3,801.89	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $2,951.21	Professional		$912.01	$1,174.90	$2,951.21
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 $831.76 / $1,047.13 / $2,691.53	Professional		$831.76	$1,047.13	$2,691.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $37,153.52	Facility		$1,513.56	$1,513.56	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,819.70 / $50,118.72	Facility		$34.67	$1,819.70	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,819.70 / $4,897.79	Professional		$954.99	$1,819.70	$4,897.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,949.84 / $3,630.78	Facility		$1,047.13	$1,949.84	$3,630.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $1,905.46	Professional		$1,000.00	$1,348.96	$1,905.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,380.38 / $2,290.87	Professional		$933.25	$1,380.38	$2,290.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $50,118.72 / $75,857.76	Facility		$1,096.48	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,412.54 / $2,290.87	Professional		$398.11	$1,412.54	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,897.79 / $11,481.54	Facility		$2,398.83	$4,897.79	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $2,818.38	Professional		$1,023.29	$1,445.44	$2,818.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,230.27 / $3,548.13	Facility		$870.96	$1,230.27	$3,548.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,288.25 / $3,388.44	Professional		$870.96	$1,288.25	$3,388.44