Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,324.00 / $11,996.00	Facility		$1,819.00	$5,324.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,489.58 / $1,705.45 / $3,140.09	Professional		$1,489.58	$1,705.45	$3,140.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,228.00	Facility		$3,283.00	$5,434.00	$12,228.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,360.94 / $1,779.01 / $4,048.81	Professional		$1,360.94	$1,779.01	$4,048.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,317.21 / $2,317.21 / $37,499.62	Facility		$2,317.21	$2,317.21	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,317.21 / $2,317.21 / $2,317.21	Professional		$2,317.21	$2,317.21	$2,317.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,859.26 / $1,859.26 / $1,859.26	Facility		$1,859.26	$1,859.26	$1,859.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,627.62 / $2,512.59 / $6,201.57	Professional		$1,627.62	$2,512.59	$6,201.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,220.00 / $4,360.12	Facility		$332.00	$2,220.00	$4,360.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,783.29 / $2,530.04 / $3,740.01	Professional		$1,783.29	$2,530.04	$3,740.01
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,531.38 / $1,531.38 / $1,531.38	Facility		$1,531.38	$1,531.38	$1,531.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,328.97 / $1,661.21 / $3,447.56	Professional		$1,328.97	$1,661.21	$3,447.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,859.26	Facility		$555.00	$597.00	$1,859.26
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,683.95 / $2,494.96 / $5,792.79	Professional		$1,683.95	$2,494.96	$5,792.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $7,719.00 / $18,532.00	Facility		$2,673.00	$7,719.00	$18,532.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,509.54 / $2,137.42 / $5,404.36	Professional		$1,509.54	$2,137.42	$5,404.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,954.37 / $1,954.37 / $7,463.98	Facility		$1,954.37	$1,954.37	$7,463.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,375.81 / $2,032.55 / $4,131.22	Professional		$1,375.81	$2,032.55	$4,131.22