Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,821.00 / $4,576.38 / $10,296.00	Facility		$1,821.00	$4,576.38	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,789.18 / $2,395.39 / $4,931.58	Professional		$1,789.18	$2,395.39	$4,931.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,568.00 / $7,578.00 / $14,193.00	Facility		$4,568.00	$7,578.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,667.10 / $2,179.21 / $5,168.96	Professional		$1,667.10	$2,179.21	$5,168.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,850.88 / $2,850.88 / $37,499.62	Facility		$2,850.88	$2,850.88	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,850.88 / $2,850.88 / $2,850.88	Professional		$2,850.88	$2,850.88	$2,850.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,306.71 / $2,306.71 / $7,227.90	Facility		$2,306.71	$2,306.71	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,033.02 / $3,824.81 / $7,529.34	Professional		$2,033.02	$3,824.81	$7,529.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,410.79 / $5,386.01	Facility		$319.00	$2,410.79	$5,386.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,354.23 / $2,688.95 / $4,141.24	Professional		$2,354.23	$2,688.95	$4,141.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,629.95 / $1,886.93 / $3,691.89	Professional		$1,629.95	$1,886.93	$3,691.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,306.71 / $7,227.90	Facility		$555.00	$2,306.71	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,033.02 / $3,566.73 / $7,529.34	Professional		$2,033.02	$3,566.73	$7,529.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,775.95 / $2,567.06 / $6,103.12	Professional		$1,775.95	$2,567.06	$6,103.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,152.48 / $2,152.48 / $6,946.90	Facility		$2,152.48	$2,152.48	$6,946.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,781.17 / $2,473.89 / $4,681.47	Professional		$1,781.17	$2,473.89	$4,681.47