Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,981.07 / $11,481.54	Facility		$1,621.81	$3,981.07	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $4,168.69	Professional		$1,122.02	$1,445.44	$4,168.69
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 $1,047.13 / $1,318.26 / $3,715.35	Professional		$1,047.13	$1,318.26	$3,715.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $16,595.87	Facility		$1,778.28	$1,778.28	$16,595.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,187.76 / $50,118.72	Facility		$34.67	$2,187.76	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,089.30 / $6,606.93	Professional		$1,202.26	$2,089.30	$6,606.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $5,011.87	Facility		$1,445.44	$1,995.26	$5,011.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $2,570.40	Professional		$1,445.44	$1,862.09	$2,570.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,621.81 / $2,691.53	Professional		$954.99	$1,621.81	$2,691.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $50,118.72 / $75,857.76	Facility		$1,148.15	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,737.80 / $2,691.53	Professional		$398.11	$1,737.80	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $15,135.61	Facility		$2,398.83	$5,888.44	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $4,466.84	Professional		$1,230.27	$1,778.28	$4,466.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $5,128.61	Facility		$1,023.29	$1,479.11	$5,128.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,548.82 / $3,981.07	Professional		$1,000.00	$1,548.82	$3,981.07