Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,296.08 / $5,390.10 / $12,105.00	Facility		$2,296.08	$5,390.10	$12,105.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,987.43 / $2,260.38 / $4,162.00	Professional		$1,987.43	$2,260.38	$4,162.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,760.00 / $10,037.00 / $19,299.00	Facility		$4,760.00	$10,037.00	$19,299.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,792.19 / $2,342.73 / $5,329.79	Professional		$1,792.19	$2,342.73	$5,329.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,038.47 / $3,038.47 / $37,499.62	Facility		$3,038.47	$3,038.47	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,038.47 / $3,038.47 / $3,038.47	Professional		$3,038.47	$3,038.47	$3,038.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,435.28 / $2,435.28 / $2,435.28	Facility		$2,435.28	$2,435.28	$2,435.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,140.78 / $3,333.00 / $8,380.65	Professional		$2,140.78	$3,333.00	$8,380.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,134.00 / $5,692.30	Facility		$332.00	$3,134.00	$5,692.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,327.80 / $3,302.26 / $4,882.72	Professional		$2,327.80	$3,302.26	$4,882.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,998.97 / $1,998.97 / $1,998.97	Facility		$1,998.97	$1,998.97	$1,998.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,754.14 / $2,798.56 / $4,502.01	Professional		$1,754.14	$2,798.56	$4,502.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $37,776.00	Facility		$555.00	$597.00	$37,776.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,221.79 / $3,298.67 / $8,326.16	Professional		$2,221.79	$3,298.67	$8,326.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $7,719.00 / $19,689.00	Facility		$2,673.00	$7,719.00	$19,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,953.66 / $2,772.22 / $6,979.71	Professional		$1,953.66	$2,772.22	$6,979.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,593.39 / $3,593.39 / $9,970.54	Facility		$3,593.39	$3,593.39	$9,970.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,893.93 / $2,998.85 / $5,394.78	Professional		$1,893.93	$2,998.85	$5,394.78