Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,897.79 / $10,964.78	Facility		$2,570.40	$4,897.79	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $7,413.10	Professional		$2,344.23	$2,951.21	$7,413.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $11,481.54 / $19,054.61	Facility		$4,786.30	$11,481.54	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,754.23 / $7,413.10	Professional		$2,137.96	$2,754.23	$7,413.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $37,153.52	Facility		$3,630.78	$3,630.78	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,466.84 / $50,118.72	Facility		$34.67	$4,466.84	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,073.80 / $13,182.57	Professional		$2,570.40	$4,073.80	$13,182.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,248.07 / $10,232.93	Facility		$2,754.23	$5,248.07	$10,232.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,073.80 / $6,165.95	Professional		$3,019.95	$4,073.80	$6,165.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,311.31 / $5,370.32	Professional		$2,137.96	$3,311.31	$5,370.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $50,118.72 / $75,857.76	Facility		$2,630.27	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $3,467.37 / $5,495.41	Professional		$398.11	$3,467.37	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $4,168.69 / $9,120.11	Facility		$1,479.11	$4,168.69	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,548.13 / $9,120.11	Professional		$2,187.76	$3,548.13	$9,120.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,019.95 / $10,715.19	Facility		$2,089.30	$3,019.95	$10,715.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,162.28 / $7,413.10	Professional		$2,089.30	$3,162.28	$7,413.10