Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $4,629.00 / $10,686.00	Facility		$1,819.00	$4,629.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,432.12 / $1,654.66 / $2,947.70	Professional		$1,432.12	$1,654.66	$2,947.70
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 $1,344.43 / $1,757.43 / $3,805.37	Professional		$1,344.43	$1,757.43	$3,805.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,248.59 / $2,248.59 / $37,499.62	Facility		$2,248.59	$2,248.59	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,248.59 / $2,248.59 / $6,745.77	Professional		$2,248.59	$2,248.59	$6,745.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,772.98 / $1,772.98 / $1,772.98	Facility		$1,772.98	$1,772.98	$1,772.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,524.10 / $2,473.41 / $5,925.71	Professional		$1,524.10	$2,473.41	$5,925.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,219.00 / $4,034.54	Facility		$332.00	$2,219.00	$4,034.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,723.95 / $2,362.67 / $3,460.74	Professional		$1,723.95	$2,362.67	$3,460.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,480.42 / $1,480.42 / $1,480.42	Facility		$1,480.42	$1,480.42	$1,480.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,284.25 / $1,605.31 / $3,331.54	Professional		$1,284.25	$1,605.31	$3,331.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,772.98	Facility		$555.00	$597.00	$1,772.98
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,613.82 / $2,372.05 / $5,549.60	Professional		$1,613.82	$2,372.05	$5,549.60
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 $1,437.83 / $1,996.99 / $4,916.20	Professional		$1,437.83	$1,996.99	$4,916.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,888.60 / $1,888.60 / $7,543.03	Facility		$1,888.60	$1,888.60	$7,543.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,368.26 / $1,964.14 / $3,992.20	Professional		$1,368.26	$1,964.14	$3,992.20