Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,268.00 / $5,151.60 / $9,234.00	Facility		$2,268.00	$5,151.60	$9,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,717.20 / $2,130.30 / $2,754.00	Professional		$1,717.20	$2,130.30	$2,754.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,296.00 / $1,296.00 / $4,374.00	Professional		$1,296.00	$1,296.00	$4,374.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,240.00 / $3,240.00 / $3,240.00	Facility		$3,240.00	$3,240.00	$3,240.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,365.19 / $3,240.00 / $3,240.00	Professional		$2,365.19	$3,240.00	$3,240.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,222.18 / $6,561.69 / $8,408.12	Facility		$3,222.18	$6,561.69	$8,408.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,592.00 / $4,727.93 / $15,616.80	Professional		$2,592.00	$4,727.93	$15,616.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $3,888.00 / $7,290.00	Facility		$294.00	$3,888.00	$7,290.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,402.00 / $4,276.80 / $7,030.80	Professional		$3,402.00	$4,276.80	$7,030.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,754.00 / $3,199.94 / $5,875.07	Professional		$2,754.00	$3,199.94	$5,875.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,159.00 / $7,905.65 / $8,408.12	Facility		$3,159.00	$7,905.65	$8,408.12
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,106.00 / $2,430.00 / $7,452.00	Professional		$2,106.00	$2,430.00	$7,452.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,360.80 / $1,944.00 / $5,086.31	Professional		$1,360.80	$1,944.00	$5,086.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,240.00 / $3,725.92 / $3,725.92	Facility		$3,240.00	$3,725.92	$3,725.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,754.00 / $3,240.00 / $3,894.21	Professional		$2,754.00	$3,240.00	$3,894.21