Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,715.00 / $4,308.00 / $9,661.00	Facility		$1,715.00	$4,308.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,465.75 / $3,892.26 / $4,368.47	Professional		$2,465.75	$3,892.26	$4,368.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,567.87 / $3,061.10 / $5,789.81	Professional		$2,567.87	$3,061.10	$5,789.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,445.70 / $3,445.70 / $10,297.11	Facility		$3,445.70	$3,445.70	$10,297.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13,069.96 / $13,069.96 / $13,069.96	Professional		$13,069.96	$13,069.96	$13,069.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,915.78 / $4,915.78 / $4,915.78	Professional		$4,915.78	$4,915.78	$4,915.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,766.69 / $3,245.21 / $6,109.58	Professional		$2,766.69	$3,245.21	$6,109.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $3,445.70 / $10,297.11	Facility		$555.00	$3,445.70	$10,297.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13,069.96 / $13,069.96 / $13,069.96	Professional		$13,069.96	$13,069.96	$13,069.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,133.00	Facility		$1,768.00	$3,961.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,985.82 / $4,613.91 / $9,729.56	Professional		$2,985.82	$4,613.91	$9,729.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,912.30 / $2,912.30 / $2,912.30	Facility		$2,912.30	$2,912.30	$2,912.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,912.30 / $3,245.21 / $6,109.58	Professional		$2,912.30	$3,245.21	$6,109.58