Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,073.80 / $11,481.54	Facility		$2,454.71	$4,073.80	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,754.23 / $7,079.46	Professional		$2,137.96	$2,754.23	$7,079.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $11,481.54 / $19,054.61	Facility		$4,897.79	$11,481.54	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,511.89 / $6,918.31	Professional		$1,995.26	$2,511.89	$6,918.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $37,153.52	Facility		$3,311.31	$3,311.31	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,168.69 / $50,118.72	Facility		$34.67	$4,168.69	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $4,073.80 / $12,589.25	Professional		$2,041.74	$4,073.80	$12,589.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,570.88 / $9,332.54	Facility		$2,570.40	$4,570.88	$9,332.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,467.37 / $4,677.35	Professional		$2,630.27	$3,467.37	$4,677.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,019.95 / $5,888.44	Professional		$1,995.26	$3,019.95	$5,888.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $50,118.72 / $75,857.76	Facility		$2,454.71	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $3,235.94 / $5,011.87	Professional		$398.11	$3,235.94	$5,011.87
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 $2,344.23 / $3,388.44 / $8,511.38	Professional		$2,344.23	$3,388.44	$8,511.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,754.23 / $8,128.31	Facility		$1,905.46	$2,754.23	$8,128.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,884.03 / $7,079.46	Professional		$1,905.46	$2,884.03	$7,079.46