Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,370.32 / $7,585.78	Facility		$2,454.71	$5,370.32	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,311.31 / $5,623.41	Professional		$2,630.27	$3,311.31	$5,623.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $13,489.63	Facility		$6,760.83	$6,760.83	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $11,481.54	Professional		$3,801.89	$3,801.89	$11,481.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,495.41 / $5,495.41	Facility		$5,128.61	$5,495.41	$5,495.41
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Professional		$5,495.41	$5,495.41	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $11,481.54 / $50,118.72	Facility		$4,365.16	$11,481.54	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $6,606.93	Professional		$3,162.28	$3,162.28	$6,606.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,220.18 / $26,302.68	Facility		$6,760.83	$11,220.18	$26,302.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $7,079.46 / $13,182.57	Professional		$4,168.69	$7,079.46	$13,182.57
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,311.31	Facility		$3,162.28	$3,162.28	$3,311.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,981.07 / $4,265.80	Professional		$3,162.28	$3,981.07	$4,265.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $50,118.72 / $75,857.76	Facility		$6,760.83	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $6,456.54 / $6,456.54	Professional		$4,466.84	$6,456.54	$6,456.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,897.79 / $8,511.38	Facility		$2,570.40	$4,897.79	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,548.13 / $5,623.41	Professional		$2,187.76	$3,548.13	$5,623.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,801.89 / $3,981.07	Facility		$3,162.28	$3,801.89	$3,981.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,981.07 / $4,265.80	Professional		$3,162.28	$3,981.07	$4,265.80