Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,278.83 / $3,938.00 / $9,661.00	Facility		$1,278.83	$3,938.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $911.69 / $1,217.19 / $2,273.92	Professional		$911.69	$1,217.19	$2,273.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $785.29 / $1,026.53 / $2,479.33	Professional		$785.29	$1,026.53	$2,479.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,423.69 / $1,716.00 / $6,213.00	Facility		$1,423.69	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,423.69 / $1,423.69 / $1,423.69	Professional		$1,423.69	$1,423.69	$1,423.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,139.02 / $1,139.02 / $4,612.43	Facility		$1,139.02	$1,139.02	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $773.08 / $1,716.67 / $3,610.63	Professional		$773.08	$1,716.67	$3,610.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,081.78 / $2,647.17	Facility		$319.00	$1,081.78	$2,647.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,176.52 / $1,373.56 / $2,055.60	Professional		$1,176.52	$1,373.56	$2,055.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $825.06 / $1,097.89 / $1,863.67	Professional		$825.06	$1,097.89	$1,863.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,139.02 / $4,612.43	Facility		$555.00	$1,139.02	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $858.22 / $1,716.67 / $3,697.25	Professional		$858.22	$1,716.67	$3,697.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,742.00	Facility		$2,337.00	$6,450.00	$12,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $836.98 / $1,234.95 / $3,250.51	Professional		$836.98	$1,234.95	$3,250.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,097.89 / $1,097.89 / $3,173.77	Facility		$1,097.89	$1,097.89	$3,173.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $847.18 / $1,261.83 / $2,387.82	Professional		$847.18	$1,261.83	$2,387.82