Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,011.87 / $7,079.46	Facility		$2,290.87	$5,011.87	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,754.23 / $4,466.84	Professional		$1,995.26	$2,754.23	$4,466.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $12,882.50	Facility		$6,456.54	$6,456.54	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $10,000.00	Professional		$2,884.03	$2,884.03	$10,000.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $5,248.07 / $5,248.07	Facility		$4,897.79	$5,248.07	$5,248.07
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Professional		$5,248.07	$5,248.07	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $8,511.38 / $50,118.72	Facility		$3,801.89	$8,511.38	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $6,309.57	Professional		$2,754.23	$2,754.23	$6,309.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $10,471.29 / $24,547.09	Facility		$6,456.54	$10,471.29	$24,547.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $6,760.83 / $12,302.69	Professional		$3,981.07	$6,760.83	$12,302.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,265.80	Facility		$4,073.80	$4,073.80	$4,265.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,981.07 / $4,073.80	Professional		$3,801.89	$3,981.07	$4,073.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $50,118.72 / $75,857.76	Facility		$8,709.64	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $6,165.95 / $6,165.95	Professional		$4,168.69	$6,165.95	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,715.35 / $6,456.54	Facility		$1,949.84	$3,715.35	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,235.94 / $5,248.07	Professional		$2,089.30	$3,235.94	$5,248.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,890.45 / $4,265.80	Facility		$3,801.89	$3,890.45	$4,265.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,981.07 / $4,073.80	Professional		$3,801.89	$3,981.07	$4,073.80