Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,185.33 / $1,403.68 / $2,598.27	Facility		$1,185.33	$1,403.68	$2,598.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,185.33 / $1,615.97 / $2,033.54	Professional		$1,185.33	$1,615.97	$2,033.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,225.50 / $3,290.01 / $6,451.00	Facility		$3,225.50	$3,290.01	$6,451.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,929.14 / $1,929.14 / $5,141.14	Professional		$1,929.14	$1,929.14	$5,141.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,499.19 / $2,687.31 / $2,687.31	Facility		$2,499.19	$2,687.31	$2,687.31
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,687.31 / $2,687.31 / $2,687.31	Professional		$2,687.31	$2,687.31	$2,687.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,425.11 / $2,425.11 / $2,425.11	Facility		$2,425.11	$2,425.11	$2,425.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,770.33 / $1,770.33 / $2,425.11	Professional		$1,770.33	$1,770.33	$2,425.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,225.50 / $7,257.38	Facility		$319.00	$3,225.50	$7,257.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,665.55 / $2,419.13 / $5,805.90	Professional		$1,665.55	$2,419.13	$5,805.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,666.50 / $1,666.50 / $1,666.50	Facility		$1,666.50	$1,666.50	$1,666.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,666.50 / $1,939.18 / $2,313.00	Professional		$1,666.50	$1,939.18	$2,313.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,425.11 / $3,225.50	Facility		$597.00	$2,425.11	$3,225.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,770.33 / $1,921.66 / $4,806.00	Professional		$1,770.33	$1,921.66	$4,806.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,072.78 / $1,935.30 / $2,950.15	Professional		$1,072.78	$1,935.30	$2,950.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,939.18 / $1,939.18 / $2,015.17	Facility		$1,939.18	$1,939.18	$2,015.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,666.50 / $1,939.18 / $2,060.38	Professional		$1,666.50	$1,939.18	$2,060.38