Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,411.45 / $1,671.44 / $3,093.91	Facility		$1,411.45	$1,671.44	$3,093.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,411.45 / $1,671.44 / $2,421.46	Professional		$1,411.45	$1,671.44	$2,421.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,840.81 / $3,917.63 / $7,681.62	Facility		$3,840.81	$3,917.63	$7,681.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,898.20 / $1,898.20 / $5,789.51	Professional		$1,898.20	$1,898.20	$5,789.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,975.95 / $3,199.95 / $3,199.95	Facility		$2,975.95	$3,199.95	$3,199.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,199.95 / $3,199.95 / $3,199.95	Professional		$3,199.95	$3,199.95	$3,199.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,479.82 / $2,479.82 / $2,479.82	Facility		$2,479.82	$2,479.82	$2,479.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,810.27 / $1,810.27 / $2,479.82	Professional		$1,810.27	$1,810.27	$2,479.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,840.81 / $8,641.82	Facility		$319.00	$3,840.81	$8,641.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,983.27 / $2,765.38 / $6,913.46	Professional		$1,983.27	$2,765.38	$6,913.46
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,439.15 / $2,439.15 / $2,439.15	Facility		$2,439.15	$2,439.15	$2,439.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,309.12 / $2,439.15 / $2,926.98	Professional		$2,309.12	$2,439.15	$2,926.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,479.82 / $3,840.81	Facility		$597.00	$2,479.82	$3,840.81
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,810.27 / $2,288.26 / $5,555.16	Professional		$1,810.27	$2,288.26	$5,555.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,277.42 / $2,073.55 / $3,228.75	Professional		$1,277.42	$2,073.55	$3,228.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,309.12 / $2,309.12 / $2,399.61	Facility		$2,309.12	$2,309.12	$2,399.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,309.12 / $2,309.12 / $2,453.44	Professional		$2,309.12	$2,309.12	$2,453.44