Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,249.91 / $4,648.00 / $11,080.00	Facility		$1,249.91	$4,648.00	$11,080.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $937.94 / $1,070.30 / $1,997.88	Professional		$937.94	$1,070.30	$1,997.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $842.01 / $1,100.67 / $2,509.16	Professional		$842.01	$1,100.67	$2,509.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,450.18 / $2,390.00 / $10,957.50	Facility		$1,450.18	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,450.18 / $1,450.18 / $1,450.18	Professional		$1,450.18	$1,450.18	$1,450.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,165.18 / $1,165.18 / $1,165.18	Facility		$1,165.18	$1,165.18	$1,165.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,026.17 / $1,553.62 / $3,875.90	Professional		$1,026.17	$1,553.62	$3,875.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,156.85 / $2,744.12	Facility		$332.00	$1,156.85	$2,744.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,217.69 / $1,619.60 / $2,353.85	Professional		$1,217.69	$1,619.60	$2,353.85
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.05 / $964.05 / $964.05	Facility		$964.05	$964.05	$964.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $771.24 / $1,230.68 / $2,170.94	Professional		$771.24	$1,230.68	$2,170.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,165.18	Facility		$555.00	$597.00	$1,165.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,059.82 / $1,596.26 / $3,596.93	Professional		$1,059.82	$1,596.26	$3,596.93
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 $913.55 / $1,292.15 / $3,162.65	Professional		$913.55	$1,292.15	$3,162.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,230.68 / $1,230.68 / $4,716.17	Facility		$1,230.68	$1,230.68	$4,716.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $771.24 / $1,343.50 / $2,601.46	Professional		$771.24	$1,343.50	$2,601.46