Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,561.33 / $3,819.75 / $6,978.40	Facility		$1,561.33	$3,819.75	$6,978.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,297.74 / $1,964.20 / $2,840.33	Professional		$1,297.74	$1,964.20	$2,840.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,448.56 / $2,448.56 / $6,366.26	Facility		$2,448.56	$2,448.56	$6,366.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $979.42 / $1,417.31 / $5,582.72	Professional		$979.42	$1,417.31	$5,582.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,469.14 / $2,448.56 / $2,448.56	Facility		$1,469.14	$2,448.56	$2,448.56
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,787.45 / $2,448.56 / $2,448.56	Professional		$1,787.45	$2,448.56	$2,448.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,938.27 / $4,958.35 / $6,353.63	Facility		$2,938.27	$4,958.35	$6,353.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,473.67 / $3,176.86 / $7,905.36	Professional		$1,473.67	$3,176.86	$7,905.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,183.13 / $5,509.26	Facility		$319.00	$3,183.13	$5,509.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,713.99 / $2,570.98 / $4,480.85	Professional		$1,713.99	$2,570.98	$4,480.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,081.28 / $2,448.56 / $4,439.96	Professional		$2,081.28	$2,448.56	$4,439.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $5,172.57 / $6,353.63	Facility		$254.50	$5,172.57	$6,353.63
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,486.35 / $3,060.70 / $7,345.68	Professional		$1,486.35	$3,060.70	$7,345.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.40 / $1,469.14 / $3,710.99	Professional		$1,028.40	$1,469.14	$3,710.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,595.48 / $2,595.48 / $3,171.27	Facility		$2,595.48	$2,595.48	$3,171.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,081.28 / $2,458.32 / $3,357.00	Professional		$2,081.28	$2,458.32	$3,357.00