Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $4,043.00 / $10,296.00	Facility		$1,516.00	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,336.18 / $1,697.82 / $2,802.54	Professional		$1,336.18	$1,697.82	$2,802.54
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 $1,047.28 / $1,369.00 / $3,000.63	Professional		$1,047.28	$1,369.00	$3,000.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,781.69 / $1,781.69 / $37,499.62	Facility		$1,781.69	$1,781.69	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,781.69 / $1,781.69 / $1,781.69	Professional		$1,781.69	$1,781.69	$1,781.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,442.82 / $1,442.82 / $7,227.90	Facility		$1,442.82	$1,442.82	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,255.13 / $2,130.96 / $4,621.82	Professional		$1,255.13	$2,130.96	$4,621.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,445.00 / $11,635.96	Facility		$332.00	$2,445.00	$11,635.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,505.34 / $1,956.50 / $2,604.23	Professional		$1,505.34	$1,956.50	$2,604.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.70 / $1,213.82 / $2,061.71	Professional		$933.70	$1,213.82	$2,061.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,442.82 / $74,999.25	Facility		$555.00	$1,442.82	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,291.03 / $2,130.96 / $4,575.47	Professional		$1,291.03	$2,130.96	$4,575.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $4,114.00 / $8,133.00	Facility		$1,479.00	$4,114.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,292.71 / $1,724.87 / $3,763.46	Professional		$1,292.71	$1,724.87	$3,763.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,589.81 / $1,589.81 / $4,781.37	Facility		$1,589.81	$1,589.81	$4,781.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $933.70 / $1,817.21 / $3,176.50	Professional		$933.70	$1,817.21	$3,176.50