Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $4,910.00 / $11,396.00	Facility		$1,819.00	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,714.42 / $2,139.96 / $3,800.00	Professional		$1,714.42	$2,139.96	$3,800.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,584.00 / $8,170.00 / $16,174.00	Facility		$4,584.00	$8,170.00	$16,174.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,328.76 / $1,736.95 / $3,773.42	Professional		$1,328.76	$1,736.95	$3,773.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,246.53 / $2,246.53 / $37,499.62	Facility		$2,246.53	$2,246.53	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,246.53 / $2,246.53 / $2,246.53	Professional		$2,246.53	$2,246.53	$2,246.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,808.35 / $7,227.90 / $39,142.00	Facility		$1,808.35	$7,227.90	$39,142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,589.95 / $2,549.38 / $5,787.03	Professional		$1,589.95	$2,549.38	$5,787.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,808.41 / $12,086.62	Facility		$332.00	$2,808.41	$12,086.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,685.04 / $2,246.71 / $3,239.03	Professional		$1,685.04	$2,246.71	$3,239.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,082.86 / $1,517.83 / $2,581.06	Professional		$1,082.86	$1,517.83	$2,581.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,808.35 / $74,999.25	Facility		$555.00	$1,808.35	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,629.71 / $2,580.61 / $5,787.03	Professional		$1,629.71	$2,580.61	$5,787.03
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 $1,581.47 / $2,143.02 / $5,237.58	Professional		$1,581.47	$2,143.02	$5,237.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,987.99 / $1,987.99 / $5,469.98	Facility		$1,987.99	$1,987.99	$5,469.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,082.86 / $2,274.94 / $3,972.09	Professional		$1,082.86	$2,274.94	$3,972.09