Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.00 / $4,640.82 / $10,674.00	Facility		$2,220.00	$4,640.82	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,056.16 / $2,394.50 / $4,364.78	Professional		$2,056.16	$2,394.50	$4,364.78
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 $1,901.22 / $2,485.26 / $5,543.36	Professional		$1,901.22	$2,485.26	$5,543.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,249.85 / $3,249.85 / $37,499.62	Facility		$3,249.85	$3,249.85	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,249.85 / $3,249.85 / $9,749.54	Professional		$3,249.85	$3,249.85	$9,749.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,592.29 / $2,592.29 / $2,592.29	Facility		$2,592.29	$2,592.29	$2,592.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,256.78 / $3,444.58 / $8,540.06	Professional		$2,256.78	$3,444.58	$8,540.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,354.00 / $6,036.89	Facility		$332.00	$3,354.00	$6,036.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,687.62 / $3,584.04 / $5,178.31	Professional		$2,687.62	$3,584.04	$5,178.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,139.42 / $2,139.42 / $2,139.42	Facility		$2,139.42	$2,139.42	$2,139.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,711.54 / $2,729.64 / $4,815.16	Professional		$1,711.54	$2,729.64	$4,815.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $2,592.29	Facility		$555.00	$597.00	$2,592.29
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,361.87 / $3,444.58 / $8,209.98	Professional		$2,361.87	$3,444.58	$8,209.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $5,547.00 / $12,457.00	Facility		$2,705.00	$5,547.00	$12,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,076.19 / $2,997.55 / $7,116.40	Professional		$2,076.19	$2,997.55	$7,116.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,729.64 / $2,729.64 / $10,705.96	Facility		$2,729.64	$2,729.64	$10,705.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,856.16 / $2,981.51 / $5,770.03	Professional		$1,856.16	$2,981.51	$5,770.03