Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,955.75 / $2,955.75 / $3,320.77	Facility		$2,955.75	$2,955.75	$3,320.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,831.50 / $2,955.75 / $3,565.76	Professional		$1,831.50	$2,955.75	$3,565.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,751.98 / $1,751.98 / $4,852.97	Professional		$1,751.98	$1,751.98	$4,852.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $457.87 / $457.87 / $5,952.31	Facility		$457.87	$457.87	$5,952.31
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $457.87 / $457.87 / $5,952.31	Professional		$457.87	$457.87	$5,952.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,360.51 / $3,360.51 / $3,360.51	Facility		$3,360.51	$3,360.51	$3,360.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,472.88 / $1,472.88 / $3,637.50	Professional		$1,472.88	$1,472.88	$3,637.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,201.10 / $4,001.37 / $4,001.37	Professional		$3,201.10	$4,001.37	$4,001.37
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,001.37 / $4,001.37 / $4,001.37	Facility		$4,001.37	$4,001.37	$4,001.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,001.37 / $5,740.32 / $6,099.09	Professional		$4,001.37	$5,740.32	$6,099.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $3,360.51 / $74,999.25	Facility		$555.00	$3,360.51	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $543.25 / $1,472.88 / $3,360.51	Professional		$543.25	$1,472.88	$3,360.51
United Facility/Professional Professional Modifier Low / Median / High Price $122.77 / $365.23 / $2,920.70	Professional		$122.77	$365.23	$2,920.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $562.78 / $5,740.32 / $5,740.32	Facility		$562.78	$5,740.32	$5,740.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $4,001.37 / $5,740.32 / $6,099.09	Professional		$4,001.37	$5,740.32	$6,099.09