Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,465.00 / $4,910.00 / $10,674.00	Facility		$2,465.00	$4,910.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,510.29 / $3,124.85 / $5,289.98	Professional		$2,510.29	$3,124.85	$5,289.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,359.00 / $12,869.00	Facility		$4,079.00	$7,359.00	$12,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,308.28 / $3,017.36 / $6,491.25	Professional		$2,308.28	$3,017.36	$6,491.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,959.79 / $3,959.79 / $37,499.62	Facility		$3,959.79	$3,959.79	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,959.79 / $3,959.79 / $3,959.79	Professional		$3,959.79	$3,959.79	$3,959.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,184.07 / $3,184.07 / $3,184.07	Facility		$3,184.07	$3,184.07	$3,184.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,705.94 / $4,152.18 / $10,106.37	Professional		$2,705.94	$4,152.18	$10,106.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $4,178.22 / $7,231.55	Facility		$332.00	$4,178.22	$7,231.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,247.20 / $4,351.78 / $6,203.06	Professional		$3,247.20	$4,351.78	$6,203.06
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,610.66 / $2,610.66 / $2,610.66	Facility		$2,610.66	$2,610.66	$2,610.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,088.53 / $3,354.56 / $5,917.53	Professional		$2,088.53	$3,354.56	$5,917.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $3,184.07	Facility		$555.00	$597.00	$3,184.07
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,882.17 / $4,138.06 / $9,518.78	Professional		$2,882.17	$4,138.06	$9,518.78
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 $2,517.39 / $3,537.27 / $8,730.73	Professional		$2,517.39	$3,537.27	$8,730.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,354.56 / $3,354.56 / $13,871.97	Facility		$3,354.56	$3,354.56	$13,871.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,281.10 / $3,638.22 / $7,091.00	Professional		$2,281.10	$3,638.22	$7,091.00