Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,608.10 / $1,904.31 / $3,524.97	Facility		$1,608.10	$1,904.31	$3,524.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,608.10 / $1,930.51 / $2,758.82	Professional		$1,608.10	$1,930.51	$2,758.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,375.91 / $4,463.43 / $8,751.82	Facility		$4,375.91	$4,463.43	$8,751.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,693.73 / $2,693.73 / $7,178.79	Professional		$2,693.73	$2,693.73	$7,178.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,390.57 / $3,645.77 / $3,645.77	Facility		$3,390.57	$3,645.77	$3,645.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,645.77 / $3,645.77 / $3,645.77	Professional		$3,645.77	$3,645.77	$3,645.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,502.67 / $2,502.67 / $2,502.67	Facility		$2,502.67	$2,502.67	$2,502.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,826.95 / $1,826.95 / $2,502.67	Professional		$1,826.95	$1,826.95	$2,502.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,375.91 / $9,845.79	Facility		$319.00	$4,375.91	$9,845.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,259.59 / $3,238.17 / $7,876.64	Professional		$2,259.59	$3,238.17	$7,876.64
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,788.87 / $2,788.87 / $2,788.87	Facility		$2,788.87	$2,788.87	$2,788.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,630.83 / $2,788.87 / $3,346.64	Professional		$2,630.83	$2,788.87	$3,346.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,502.67 / $4,375.91	Facility		$597.00	$2,502.67	$4,375.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,826.95 / $2,502.67 / $6,496.88	Professional		$1,826.95	$2,502.67	$6,496.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,455.40 / $2,625.55 / $3,771.72	Professional		$1,455.40	$2,625.55	$3,771.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,630.83 / $2,630.83 / $2,733.92	Facility		$2,630.83	$2,630.83	$2,733.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,630.83 / $2,630.83 / $2,795.26	Professional		$2,630.83	$2,630.83	$2,795.26