Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,408.51 / $1,667.96 / $3,087.47	Facility		$1,408.51	$1,667.96	$3,087.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,408.51 / $1,690.88 / $2,416.42	Professional		$1,408.51	$1,690.88	$2,416.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,832.80 / $3,909.46 / $7,665.60	Facility		$3,832.80	$3,909.46	$7,665.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,143.16 / $2,143.16 / $5,953.73	Professional		$2,143.16	$2,143.16	$5,953.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,969.75 / $3,193.28 / $3,193.28	Facility		$2,969.75	$3,193.28	$3,193.28
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,193.28 / $3,193.28 / $3,193.28	Professional		$3,193.28	$3,193.28	$3,193.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,540.30 / $2,540.30 / $2,540.30	Facility		$2,540.30	$2,540.30	$2,540.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,854.42 / $1,854.42 / $2,540.30	Professional		$1,854.42	$1,854.42	$2,540.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,832.80 / $8,623.79	Facility		$319.00	$3,832.80	$8,623.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,261.35 / $2,874.60 / $6,983.36	Professional		$2,261.35	$2,874.60	$6,983.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,304.31 / $2,448.33 / $3,193.28	Professional		$2,304.31	$2,448.33	$3,193.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,540.30 / $3,832.80	Facility		$597.00	$2,540.30	$3,832.80
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,854.42 / $2,368.86 / $5,690.63	Professional		$1,854.42	$2,368.86	$5,690.63
United Facility/Professional Professional Modifier Low / Median / High Price $1,274.76 / $2,299.67 / $3,505.60	Professional		$1,274.76	$2,299.67	$3,505.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,304.31 / $2,304.31 / $2,560.98	Facility		$2,304.31	$2,304.31	$2,560.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,304.31 / $2,304.31 / $2,448.33	Professional		$2,304.31	$2,304.31	$2,448.33