Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,818.38 / $4,073.80	Facility		$1,202.26	$2,818.38	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $3,090.30	Professional		$1,513.56	$1,995.26	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $7,244.36	Facility		$3,630.78	$3,630.78	$7,244.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,238.72 / $5,754.40	Professional		$2,137.96	$2,238.72	$5,754.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,951.21 / $2,951.21	Facility		$2,754.23	$2,951.21	$2,951.21
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,309.57 / $50,118.72	Facility		$2,511.89	$6,309.57	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $3,890.45	Professional		$1,819.70	$1,819.70	$3,890.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $5,888.44 / $13,803.84	Facility		$3,630.78	$5,888.44	$13,803.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,981.07 / $6,918.31	Professional		$2,238.72	$3,981.07	$6,918.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,344.23	Facility		$2,238.72	$2,238.72	$2,344.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,238.72 / $2,238.72	Professional		$2,137.96	$2,238.72	$2,238.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $50,118.72 / $75,857.76	Facility		$4,786.30	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,467.37 / $3,467.37	Professional		$2,344.23	$3,467.37	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,754.23 / $4,786.30	Facility		$1,445.44	$2,754.23	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,862.09 / $3,019.95	Professional		$1,174.90	$1,862.09	$3,019.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,187.76 / $2,344.23	Facility		$2,137.96	$2,187.76	$2,344.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,238.72 / $2,238.72	Professional		$2,137.96	$2,238.72	$2,238.72