Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,157.00 / $11,396.00	Facility		$1,819.00	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,310.73 / $1,593.52 / $2,982.10	Professional		$1,310.73	$1,593.52	$2,982.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,168.00	Facility		$3,283.00	$5,434.00	$12,168.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,271.56 / $1,597.80 / $3,615.80	Professional		$1,271.56	$1,597.80	$3,615.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,164.09 / $2,164.09 / $37,499.62	Facility		$2,164.09	$2,164.09	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,164.09 / $2,164.09 / $2,164.09	Professional		$2,164.09	$2,164.09	$2,164.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,736.58 / $1,736.58 / $1,736.58	Facility		$1,736.58	$1,736.58	$1,736.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,315.60 / $2,177.39 / $5,406.72	Professional		$1,315.60	$2,177.39	$5,406.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,638.00 / $4,079.72	Facility		$332.00	$1,638.00	$4,079.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,643.90 / $2,367.40 / $3,499.50	Professional		$1,643.90	$2,367.40	$3,499.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,432.66 / $1,432.66 / $1,432.66	Facility		$1,432.66	$1,432.66	$1,432.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $807.55 / $1,827.25 / $3,223.31	Professional		$807.55	$1,827.25	$3,223.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,736.58	Facility		$555.00	$597.00	$1,736.58
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,406.53 / $2,177.39 / $5,235.77	Professional		$1,406.53	$2,177.39	$5,235.77
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 $1,349.41 / $1,910.78 / $4,613.38	Professional		$1,349.41	$1,910.78	$4,613.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,827.25 / $1,827.25 / $4,504.75	Facility		$1,827.25	$1,827.25	$4,504.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,242.53 / $1,996.55 / $3,862.51	Professional		$1,242.53	$1,996.55	$3,862.51