Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,033.94 / $4,354.00 / $7,090.80	Facility		$2,033.94	$4,354.00	$7,090.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,355.96 / $1,355.96 / $2,114.80	Professional		$1,355.96	$1,355.96	$2,114.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $55.00 / $64.00	Facility		$49.00	$55.00	$64.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.80 / $358.80 / $2,519.10	Professional		$358.80	$358.80	$2,519.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,488.00 / $2,488.00 / $2,488.00	Facility		$2,488.00	$2,488.00	$2,488.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,816.24 / $2,488.00 / $2,488.00	Professional		$1,816.24	$2,488.00	$2,488.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,738.54 / $5,038.21 / $6,455.94	Facility		$1,738.54	$5,038.21	$6,455.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,859.20 / $3,574.00 / $11,992.16	Professional		$2,859.20	$3,574.00	$11,992.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,985.60 / $5,598.00	Facility		$319.00	$2,985.60	$5,598.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $995.20 / $1,467.92 / $4,652.56	Professional		$995.20	$1,467.92	$4,652.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,558.23 / $2,363.60 / $2,815.32	Professional		$1,558.23	$2,363.60	$2,815.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,738.54 / $5,277.04 / $6,455.94	Facility		$1,738.54	$5,277.04	$6,455.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,617.20 / $2,488.00 / $5,125.28	Professional		$1,617.20	$2,488.00	$5,125.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,044.96 / $1,492.80 / $3,654.20	Professional		$1,044.96	$1,492.80	$3,654.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,488.00 / $2,861.14 / $2,861.14	Facility		$2,488.00	$2,861.14	$2,861.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,558.23 / $2,488.00 / $2,990.37	Professional		$1,558.23	$2,488.00	$2,990.37