Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,961.85 / $3,507.44 / $6,492.44	Facility		$2,961.85	$3,507.44	$6,492.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,961.85 / $3,899.69 / $5,081.34	Professional		$2,961.85	$3,899.69	$5,081.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,059.76 / $8,220.95 / $16,119.52	Facility		$8,059.76	$8,220.95	$16,119.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,923.92 / $4,923.92 / $13,122.24	Professional		$4,923.92	$4,923.92	$13,122.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $6,244.89 / $6,714.94 / $6,714.94	Facility		$6,244.89	$6,714.94	$6,714.94
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $6,714.94 / $6,714.94 / $6,714.94	Professional		$6,714.94	$6,714.94	$6,714.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,300.68 / $6,300.68 / $6,300.68	Facility		$6,300.68	$6,300.68	$6,300.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,599.50 / $4,599.50 / $6,300.68	Professional		$4,599.50	$4,599.50	$6,300.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $8,059.76 / $18,134.46	Facility		$319.00	$8,059.76	$18,134.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,755.26 / $6,604.71 / $14,684.88	Professional		$4,755.26	$6,604.71	$14,684.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,845.56 / $5,148.41 / $6,714.94	Professional		$4,845.56	$5,148.41	$6,714.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $6,300.68 / $8,059.76	Facility		$597.00	$6,300.68	$8,059.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4,599.50 / $4,801.78 / $12,009.04	Professional		$4,599.50	$4,801.78	$12,009.04
United Facility/Professional Professional Modifier Low / Median / High Price $2,680.62 / $5,238.84 / $6,899.43	Professional		$2,680.62	$5,238.84	$6,899.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,845.56 / $4,845.56 / $5,035.45	Facility		$4,845.56	$4,845.56	$5,035.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $4,845.56 / $4,845.56 / $5,148.41	Professional		$4,845.56	$4,845.56	$5,148.41