Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,122.00 / $4,648.00 / $10,296.00	Facility		$2,122.00	$4,648.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,122.00 / $2,799.71 / $5,208.70	Professional		$2,122.00	$2,799.71	$5,208.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $9,750.00 / $16,411.00	Facility		$4,989.00	$9,750.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,788.47 / $2,337.88 / $5,014.60	Professional		$1,788.47	$2,337.88	$5,014.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,037.20 / $3,037.20 / $37,499.62	Facility		$3,037.20	$3,037.20	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,037.20 / $3,037.20 / $3,037.20	Professional		$3,037.20	$3,037.20	$3,037.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,457.36 / $2,457.36 / $7,227.90	Facility		$2,457.36	$2,457.36	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,111.71 / $3,373.35 / $7,842.78	Professional		$2,111.71	$3,373.35	$7,842.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,763.00 / $12,672.41	Facility		$332.00	$2,763.00	$12,672.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,294.80 / $3,059.74 / $4,411.12	Professional		$2,294.80	$3,059.74	$4,411.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,324.55 / $2,056.39 / $3,487.98	Professional		$1,324.55	$2,056.39	$3,487.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,457.36 / $74,999.25	Facility		$555.00	$2,457.36	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,206.90 / $3,373.35 / $7,825.33	Professional		$2,206.90	$3,373.35	$7,825.33
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 $1,930.19 / $2,881.13 / $6,740.48	Professional		$1,930.19	$2,881.13	$6,740.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,693.37 / $2,693.37 / $6,271.00	Facility		$2,693.37	$2,693.37	$6,271.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,324.55 / $3,074.32 / $5,381.47	Professional		$1,324.55	$3,074.32	$5,381.47