Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,117.85 / $1,323.77 / $2,450.37	Facility		$1,117.85	$1,323.77	$2,450.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,117.85 / $1,465.01 / $1,917.79	Professional		$1,117.85	$1,465.01	$1,917.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,041.90 / $3,102.74 / $6,083.80	Facility		$3,041.90	$3,102.74	$6,083.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,696.36 / $1,696.36 / $4,714.50	Professional		$1,696.36	$1,696.36	$4,714.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,356.94 / $2,534.35 / $2,534.35	Facility		$2,356.94	$2,534.35	$2,534.35
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,534.35 / $2,534.35 / $2,534.35	Professional		$2,534.35	$2,534.35	$2,534.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,743.07 / $1,743.07 / $1,743.07	Facility		$1,743.07	$1,743.07	$1,743.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,272.44 / $1,272.44 / $1,743.07	Professional		$1,272.44	$1,272.44	$1,743.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,041.90 / $6,844.28	Facility		$319.00	$3,041.90	$6,844.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,570.74 / $2,281.42 / $5,475.42	Professional		$1,570.74	$2,281.42	$5,475.42
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.35 / $1,651.35 / $1,651.35	Facility		$1,651.35	$1,651.35	$1,651.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,651.35 / $1,828.82 / $2,181.34	Professional		$1,651.35	$1,828.82	$2,181.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,743.07 / $3,041.90	Facility		$597.00	$1,743.07	$3,041.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,272.44 / $1,743.07 / $4,772.81	Professional		$1,272.44	$1,743.07	$4,772.81
United Facility/Professional Professional Modifier Low / Median / High Price $1,011.72 / $1,825.14 / $2,738.82	Professional		$1,011.72	$1,825.14	$2,738.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,828.82 / $1,828.82 / $1,900.48	Facility		$1,828.82	$1,828.82	$1,900.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,651.35 / $1,828.82 / $1,943.12	Professional		$1,651.35	$1,828.82	$1,943.12