Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,801.89 / $10,232.93	Facility		$1,548.82	$3,801.89	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $3,090.30	Professional		$1,000.00	$1,318.26	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,762.47 / $13,803.84	Facility		$3,981.07	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $2,951.21	Professional		$831.76	$1,047.13	$2,951.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,698.24 / $6,165.95	Facility		$1,584.89	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,905.46 / $50,118.72	Facility		$1,862.09	$1,905.46	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $5,248.07	Professional		$1,071.52	$1,698.24	$5,248.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $3,981.07	Facility		$1,230.27	$1,584.89	$3,981.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $2,344.23	Professional		$1,174.90	$1,621.81	$2,344.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,445.44 / $2,344.23	Professional		$933.25	$1,445.44	$2,344.23
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 / $1,548.82 / $2,511.89	Professional		$398.11	$1,548.82	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $14,791.08	Facility		$2,398.83	$5,888.44	$14,791.08
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,479.11 / $3,630.78	Professional		$933.25	$1,479.11	$3,630.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,288.25 / $4,897.79	Facility		$912.01	$1,288.25	$4,897.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,318.26 / $3,019.95	Professional		$912.01	$1,318.26	$3,019.95