Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $10,715.19	Facility		$4,168.69	$5,128.61	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,011.87 / $5,128.61	Professional		$4,786.30	$5,011.87	$5,128.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,630.27	Facility		$2,511.89	$2,511.89	$2,630.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,128.61	Professional		$5,011.87	$5,011.87	$5,128.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,370.32 / $50,118.72	Facility		$5,128.61	$5,370.32	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $8,912.51	Facility		$5,128.61	$5,128.61	$8,912.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,128.61 / $5,128.61	Professional		$4,365.16	$5,128.61	$5,128.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,370.32	Facility		$5,128.61	$5,128.61	$5,370.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $6,760.83	Professional		$5,011.87	$5,011.87	$6,760.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,370.32	Facility		$5,128.61	$5,128.61	$5,370.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61