Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $4,632.96 / $10,526.00	Facility		$1,819.00	$4,632.96	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,486.11 / $1,696.45 / $3,258.28	Professional		$1,486.11	$1,696.45	$3,258.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,592.00 / $18,161.00	Facility		$4,079.00	$7,592.00	$18,161.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,365.78 / $1,785.34 / $3,933.90	Professional		$1,365.78	$1,785.34	$3,933.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,300.98 / $2,300.98 / $37,499.62	Facility		$2,300.98	$2,300.98	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,300.98 / $2,300.98 / $2,300.98	Professional		$2,300.98	$2,300.98	$2,300.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,815.11 / $1,815.11 / $1,815.11	Facility		$1,815.11	$1,815.11	$1,815.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.21 / $2,480.62 / $6,085.07	Professional		$1,548.21	$2,480.62	$6,085.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,894.00 / $4,131.95	Facility		$332.00	$1,894.00	$4,131.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,764.73 / $2,419.51 / $3,544.29	Professional		$1,764.73	$2,419.51	$3,544.29
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,515.44 / $1,515.44 / $1,515.44	Facility		$1,515.44	$1,515.44	$1,515.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,290.75 / $1,643.68 / $3,411.16	Professional		$1,290.75	$1,643.68	$3,411.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,815.11	Facility		$555.00	$597.00	$1,815.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,640.49 / $2,440.28 / $5,677.76	Professional		$1,640.49	$2,440.28	$5,677.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,457.00	Facility		$2,264.00	$5,963.00	$14,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,467.85 / $2,062.48 / $4,922.79	Professional		$1,467.85	$2,062.48	$4,922.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,933.74 / $1,933.74 / $6,871.05	Facility		$1,933.74	$1,933.74	$6,871.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,314.94 / $2,111.92 / $4,087.62	Professional		$1,314.94	$2,111.92	$4,087.62