Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,626.00 / $6,962.00 / $16,300.00	Facility		$2,626.00	$6,962.00	$16,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.72 / $1,499.87 / $6,212.98	Professional		$906.72	$1,499.87	$6,212.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,583.00 / $8,134.00 / $16,083.00	Facility		$4,583.00	$8,134.00	$16,083.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $854.91 / $1,005.78 / $1,676.31	Professional		$854.91	$1,005.78	$1,676.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,227.90 / $13,010.00 / $15,675.00	Facility		$7,227.90	$13,010.00	$15,675.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,413.55 / $7,413.55 / $7,413.55	Professional		$7,413.55	$7,413.55	$7,413.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $380.69 / $856.55	Facility		$294.00	$380.69	$856.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,037.10 / $2,471.59 / $3,563.21	Professional		$2,037.10	$2,471.59	$3,563.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,601.97 / $2,402.96 / $3,107.82	Professional		$1,601.97	$2,402.96	$3,107.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $15,675.00 / $15,675.00	Facility		$597.00	$15,675.00	$15,675.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $7,413.55 / $7,413.55 / $7,413.55	Professional		$7,413.55	$7,413.55	$7,413.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $6,700.00 / $16,403.00	Facility		$2,444.00	$6,700.00	$16,403.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,321.28 / $1,856.17 / $4,165.38	Professional		$1,321.28	$1,856.17	$4,165.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $290.92 / $290.92 / $290.92	Facility		$290.92	$290.92	$290.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $290.92 / $2,454.39 / $3,360.69	Professional		$290.92	$2,454.39	$3,360.69