Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,955.48 / $5,157.00 / $11,396.00	Facility		$1,955.48	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,600.15 / $1,873.95 / $2,989.69	Professional		$1,600.15	$1,873.95	$2,989.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,582.00 / $8,170.00 / $16,174.00	Facility		$4,582.00	$8,170.00	$16,174.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,510.52 / $1,875.81 / $4,489.25	Professional		$1,510.52	$1,875.81	$4,489.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,420.55 / $2,420.55 / $37,499.62	Facility		$2,420.55	$2,420.55	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,420.55 / $2,420.55 / $2,420.55	Professional		$2,420.55	$2,420.55	$2,420.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,894.69 / $1,894.69 / $1,894.69	Facility		$1,894.69	$1,894.69	$1,894.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,702.19 / $2,748.39 / $6,491.01	Professional		$1,702.19	$2,748.39	$6,491.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,095.32 / $4,470.91	Facility		$332.00	$2,095.32	$4,470.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,785.93 / $2,503.71 / $3,835.05	Professional		$1,785.93	$2,503.71	$3,835.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,544.86 / $1,544.86 / $1,544.86	Facility		$1,544.86	$1,544.86	$1,544.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,501.43 / $1,983.55 / $3,499.04	Professional		$1,501.43	$1,983.55	$3,499.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,894.69	Facility		$555.00	$597.00	$1,894.69
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,642.16 / $2,659.93 / $6,034.61	Professional		$1,642.16	$2,659.93	$6,034.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,604.72 / $2,284.92 / $5,389.10	Professional		$1,604.72	$2,284.92	$5,389.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,983.55 / $1,983.55 / $2,965.34	Facility		$1,983.55	$1,983.55	$2,965.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,547.72 / $2,152.92 / $3,903.63	Professional		$1,547.72	$2,152.92	$3,903.63