Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,519.79 / $4,648.00 / $10,965.00	Facility		$1,519.79	$4,648.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,423.67 / $1,744.19 / $3,165.42	Professional		$1,423.67	$1,744.19	$3,165.42
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 $1,088.58 / $1,422.99 / $3,091.28	Professional		$1,088.58	$1,422.99	$3,091.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,852.11 / $1,852.11 / $37,499.62	Facility		$1,852.11	$1,852.11	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,852.11 / $1,852.11 / $1,852.11	Professional		$1,852.11	$1,852.11	$1,852.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,498.85 / $1,498.85 / $7,227.90	Facility		$1,498.85	$1,498.85	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,292.31 / $2,125.73 / $4,750.81	Professional		$1,292.31	$2,125.73	$4,750.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,348.64 / $10,422.02	Facility		$332.00	$2,348.64	$10,422.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,409.18 / $1,878.91 / $2,708.76	Professional		$1,409.18	$1,878.91	$2,708.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $908.00 / $1,261.90 / $2,253.37	Professional		$908.00	$1,261.90	$2,253.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,498.85 / $74,999.25	Facility		$555.00	$1,498.85	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,339.79 / $2,125.73 / $4,750.81	Professional		$1,339.79	$2,125.73	$4,750.81
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 $1,262.97 / $1,727.03 / $4,083.07	Professional		$1,262.97	$1,727.03	$4,083.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,652.78 / $1,652.78 / $4,592.08	Facility		$1,652.78	$1,652.78	$4,592.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $908.00 / $1,652.78 / $3,302.33	Professional		$908.00	$1,652.78	$3,302.33