Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $6,918.31 / $12,302.69	Facility		$5,128.61	$6,918.31	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $6,760.83	Professional		$5,128.61	$5,128.61	$6,760.83
Anthem 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
Anthem 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
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,365.16	Facility		$4,168.69	$4,168.69	$4,365.16
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,897.79 / $7,585.78	Facility		$4,365.16	$4,897.79	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $21,877.62	Professional		$5,128.61	$5,128.61	$21,877.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $6,309.57 / $17,782.79	Facility		$4,897.79	$6,309.57	$17,782.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $6,309.57	Professional		$5,623.41	$5,623.41	$6,309.57
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 / $5,370.32	Professional		$5,128.61	$5,128.61	$5,370.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $50,118.72 / $75,857.76	Facility		$6,309.57	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility		$5,128.61	$5,128.61	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,128.61 / $7,413.10	Professional		$5,011.87	$5,128.61	$7,413.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $6,165.95	Facility		$5,128.61	$5,128.61	$6,165.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $5,128.61 / $6,165.95	Professional		$831.76	$5,128.61	$6,165.95