Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,398.34 / $4,024.33 / $7,449.24	Facility		$3,398.34	$4,024.33	$7,449.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,398.34 / $4,650.14 / $5,830.18	Professional		$3,398.34	$4,650.14	$5,830.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,247.54 / $9,432.49 / $18,495.08	Facility		$9,247.54	$9,432.49	$18,495.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,623.53 / $5,623.53 / $14,986.70	Professional		$5,623.53	$5,623.53	$14,986.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $7,165.21 / $7,704.53 / $7,704.53	Facility		$7,165.21	$7,704.53	$7,704.53
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $7,704.53 / $7,704.53 / $7,704.53	Professional		$7,704.53	$7,704.53	$7,704.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,261.93 / $7,261.93 / $7,261.93	Facility		$7,261.93	$7,261.93	$7,261.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,301.21 / $5,301.21 / $7,261.93	Professional		$5,301.21	$5,301.21	$7,261.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $9,247.54 / $20,806.97	Facility		$319.00	$9,247.54	$20,806.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,456.05 / $7,767.93 / $16,849.02	Professional		$5,456.05	$7,767.93	$16,849.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,559.66 / $5,907.13 / $7,704.53	Professional		$5,559.66	$5,907.13	$7,704.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $7,261.93 / $9,247.54	Facility		$597.00	$7,261.93	$9,247.54
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $5,301.21 / $5,509.42 / $15,656.25	Professional		$5,301.21	$5,509.42	$15,656.25
United Facility/Professional Professional Modifier Low / Median / High Price $3,075.66 / $6,010.90 / $7,995.33	Professional		$3,075.66	$6,010.90	$7,995.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $5,559.66 / $5,559.66 / $5,777.52	Facility		$5,559.66	$5,559.66	$5,777.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $5,559.66 / $5,559.66 / $5,907.13	Professional		$5,559.66	$5,559.66	$5,907.13