Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,681.92 / $1,991.74 / $3,686.80	Facility		$1,681.92	$1,991.74	$3,686.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,681.92 / $2,146.36 / $2,885.49	Professional		$1,681.92	$2,146.36	$2,885.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,576.82 / $4,668.35 / $9,153.64	Facility		$4,576.82	$4,668.35	$9,153.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,796.11 / $2,796.11 / $7,451.63	Professional		$2,796.11	$2,796.11	$7,451.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,546.23 / $3,813.15 / $3,813.15	Facility		$3,546.23	$3,813.15	$3,813.15
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,813.15 / $3,813.15 / $3,813.15	Professional		$3,813.15	$3,813.15	$3,813.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,532.34 / $3,532.34 / $3,532.34	Facility		$3,532.34	$3,532.34	$3,532.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,578.61 / $2,578.61 / $3,532.34	Professional		$2,578.61	$2,578.61	$3,532.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,576.82 / $10,297.85	Facility		$319.00	$4,576.82	$10,297.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,363.32 / $3,432.62 / $8,238.28	Professional		$2,363.32	$3,432.62	$8,238.28
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,413.90 / $2,413.90 / $2,413.90	Facility		$2,413.90	$2,413.90	$2,413.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,413.90 / $2,751.61 / $3,282.02	Professional		$2,413.90	$2,751.61	$3,282.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,532.34 / $4,576.82	Facility		$597.00	$3,532.34	$4,576.82
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,578.61 / $2,726.74 / $6,819.46	Professional		$2,578.61	$2,726.74	$6,819.46
United Facility/Professional Facility Modifier Low / Median / High Price $3,050.06 / $3,050.06 / $3,050.06	Facility		$3,050.06	$3,050.06	$3,050.06
United Facility/Professional Professional Modifier Low / Median / High Price $1,522.22 / $2,746.09 / $4,119.14	Professional		$1,522.22	$2,746.09	$4,119.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,751.61 / $2,751.61 / $2,859.43	Facility		$2,751.61	$2,751.61	$2,859.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,413.90 / $2,751.61 / $2,923.58	Professional		$2,413.90	$2,751.61	$2,923.58