Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,036.42 / $3,536.94 / $6,109.26	Facility		$2,036.42	$3,536.94	$6,109.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.88 / $1,286.16 / $2,143.60	Professional		$395.88	$1,286.16	$2,143.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.60 / $2,143.60 / $5,573.36	Facility		$2,143.60	$2,143.60	$5,573.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $857.44 / $1,071.80 / $3,386.89	Professional		$857.44	$1,071.80	$3,386.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,286.16 / $2,143.60 / $2,143.60	Facility		$1,286.16	$2,143.60	$2,143.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,564.83 / $2,143.60 / $2,143.60	Professional		$1,564.83	$2,143.60	$2,143.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,497.88 / $4,340.78 / $5,562.26	Facility		$1,497.88	$4,340.78	$5,562.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,254.01 / $2,583.25 / $6,956.55	Professional		$1,254.01	$2,583.25	$6,956.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $975.28 / $4,823.10	Facility		$332.00	$975.28	$4,823.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $986.06 / $1,714.88 / $3,922.79	Professional		$986.06	$1,714.88	$3,922.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.21 / $2,036.42 / $2,523.01	Professional		$398.21	$2,036.42	$2,523.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $4,528.35 / $5,562.26	Facility		$555.00	$4,528.35	$5,562.26
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,254.01 / $1,619.65 / $5,881.60	Professional		$1,254.01	$1,619.65	$5,881.60
United Facility/Professional Professional Modifier Low / Median / High Price $391.37 / $964.62 / $3,215.40	Professional		$391.37	$964.62	$3,215.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $808.43 / $2,272.21 / $2,272.21	Facility		$808.43	$2,272.21	$2,272.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $386.50 / $2,036.42 / $2,523.01	Professional		$386.50	$2,036.42	$2,523.01