Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,131.85 / $1,340.35 / $2,481.05	Facility		$1,131.85	$1,340.35	$2,481.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,110.55 / $1,340.35 / $1,941.80	Professional		$1,110.55	$1,340.35	$1,941.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,079.99 / $3,141.59 / $6,159.98	Facility		$3,079.99	$3,141.59	$6,159.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,396.06 / $1,396.06 / $4,499.10	Professional		$1,396.06	$1,396.06	$4,499.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,386.44 / $2,566.08 / $2,566.08	Facility		$2,386.44	$2,566.08	$2,566.08
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,566.08 / $2,566.08 / $2,566.08	Professional		$2,566.08	$2,566.08	$2,566.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,964.43 / $1,964.43 / $1,964.43	Facility		$1,964.43	$1,964.43	$1,964.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,434.03 / $1,434.03 / $1,964.43	Professional		$1,434.03	$1,434.03	$1,964.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,079.99 / $6,929.98	Facility		$319.00	$3,079.99	$6,929.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,590.41 / $2,217.59 / $5,543.98	Professional		$1,590.41	$2,217.59	$5,543.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,908.90 / $1,908.90 / $1,908.90	Facility		$1,908.90	$1,908.90	$1,908.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,851.71 / $1,908.90 / $2,290.67	Professional		$1,851.71	$1,908.90	$2,290.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,964.43 / $3,079.99	Facility		$597.00	$1,964.43	$3,079.99
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,434.03 / $1,834.97 / $4,400.63	Professional		$1,434.03	$1,834.97	$4,400.63
United Facility/Professional Professional Modifier Low / Median / High Price $1,024.38 / $1,735.98 / $2,771.99	Professional		$1,024.38	$1,735.98	$2,771.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,851.71 / $1,851.71 / $1,924.27	Facility		$1,851.71	$1,851.71	$1,924.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,851.71 / $1,851.71 / $1,967.44	Professional		$1,851.71	$1,851.71	$1,967.44