Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,900.19 / $2,900.19 / $4,350.29	Facility		$2,900.19	$2,900.19	$4,350.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,501.42 / $2,900.19 / $3,081.45	Professional		$2,501.42	$2,900.19	$3,081.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,301.91 / $3,292.93 / $9,214.17	Facility		$2,301.91	$3,292.93	$9,214.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,877.18 / $3,021.04 / $3,452.85	Professional		$2,877.18	$3,021.04	$3,452.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,208.00 / $2,740.17 / $3,014.19	Facility		$1,208.00	$2,740.17	$3,014.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,740.17 / $2,740.17 / $2,740.17	Professional		$2,740.17	$2,740.17	$2,740.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,370.96 / $2,442.10 / $3,081.45	Facility		$2,370.96	$2,442.10	$3,081.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,081.45 / $3,081.45 / $3,081.45	Professional		$3,081.45	$3,081.45	$3,081.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,081.45 / $4,930.32	Facility		$319.00	$3,081.45	$4,930.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,081.45 / $3,081.45 / $3,842.75	Professional		$3,081.45	$3,081.45	$3,842.75
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,021.04 / $3,021.04 / $3,081.45	Facility		$3,021.04	$3,021.04	$3,081.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,021.04 / $3,021.04 / $3,081.45	Professional		$3,021.04	$3,021.04	$3,081.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,442.10 / $3,081.45	Facility		$597.00	$2,442.10	$3,081.45
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,442.10 / $3,081.45 / $4,604.05	Professional		$2,442.10	$3,081.45	$4,604.05
United Facility/Professional Professional Modifier Low / Median / High Price $3,021.04 / $3,021.04 / $4,077.92	Professional		$3,021.04	$3,021.04	$4,077.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,081.45 / $3,081.45 / $3,081.45	Facility		$3,081.45	$3,081.45	$3,081.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,644.05 / $3,021.04 / $3,081.45	Professional		$1,644.05	$3,021.04	$3,081.45