Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,762.47 / $31,622.78	Facility		$4,265.80	$7,762.47	$31,622.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,128.61 / $5,623.41	Professional		$4,570.88	$5,128.61	$5,623.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,398.83	Facility		$2,344.23	$2,344.23	$2,398.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,888.44	Professional		$5,128.61	$5,128.61	$5,888.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $6,456.54	Facility		$5,888.44	$5,888.44	$6,456.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $6,456.54 / $50,118.72	Facility		$5,248.07	$6,456.54	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $27,542.29	Professional		$5,248.07	$5,248.07	$27,542.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $13,489.63	Facility		$7,762.47	$7,762.47	$13,489.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $7,762.47 / $7,762.47	Professional		$6,606.93	$7,762.47	$7,762.47
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $8,128.31 / $8,511.38	Facility		$7,762.47	$8,128.31	$8,511.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $8,128.31	Professional		$7,762.47	$7,762.47	$8,128.31
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 $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $7,079.46	Professional		$5,128.61	$5,128.61	$7,079.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $8,128.31 / $8,912.51	Facility		$7,762.47	$8,128.31	$8,912.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $8,128.31	Professional		$7,762.47	$7,762.47	$8,128.31