Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,731.17 / $5,845.00 / $10,965.00	Facility		$1,731.17	$5,845.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $959.35 / $1,573.94 / $1,854.39	Professional		$959.35	$1,573.94	$1,854.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $10,355.00 / $24,288.00	Facility		$4,989.00	$10,355.00	$24,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,014.82 / $1,222.43 / $2,032.29	Professional		$1,014.82	$1,222.43	$2,032.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,924.24 / $1,924.24 / $37,499.62	Facility		$1,924.24	$1,924.24	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,924.24 / $1,924.24 / $1,924.24	Professional		$1,924.24	$1,924.24	$1,924.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,227.90 / $13,010.00 / $20,885.00	Facility		$7,227.90	$13,010.00	$20,885.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,351.30 / $6,735.32 / $6,735.32	Professional		$1,351.30	$6,735.32	$6,735.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,755.88 / $4,125.74	Facility		$319.00	$1,755.88	$4,125.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,105.27 / $1,823.42 / $3,172.23	Professional		$1,105.27	$1,823.42	$3,172.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,283.14 / $2,026.02 / $2,620.32	Professional		$1,283.14	$2,026.02	$2,620.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,617.26 / $10,350.00 / $25,163.00	Facility		$1,617.26	$10,350.00	$25,163.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,351.30 / $6,735.32 / $6,735.32	Professional		$1,351.30	$6,735.32	$6,735.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,403.40 / $1,859.90 / $4,210.12	Professional		$1,403.40	$1,859.90	$4,210.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,350.68 / $1,350.68 / $1,397.29	Facility		$1,350.68	$1,350.68	$1,397.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,350.68 / $1,397.29 / $2,833.52	Professional		$1,350.68	$1,397.29	$2,833.52