Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,559.00 / $4,740.14 / $10,296.00	Facility		$2,559.00	$4,740.14	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,873.91 / $3,584.05 / $6,753.42	Professional		$2,873.91	$3,584.05	$6,753.42
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 $2,290.02 / $2,993.50 / $6,343.48	Professional		$2,290.02	$2,993.50	$6,343.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,766.19 / $3,766.19 / $37,499.62	Facility		$3,766.19	$3,766.19	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,766.19 / $3,766.19 / $3,766.19	Professional		$3,766.19	$3,766.19	$3,766.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,030.34 / $3,030.34 / $7,227.90	Facility		$3,030.34	$3,030.34	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,642.02 / $4,317.57 / $9,746.12	Professional		$2,642.02	$4,317.57	$9,746.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $4,050.00 / $16,443.00	Facility		$332.00	$4,050.00	$16,443.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,813.83 / $3,751.78 / $5,408.81	Professional		$2,813.83	$3,751.78	$5,408.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,794.36 / $2,536.90 / $4,308.64	Professional		$1,794.36	$2,536.90	$4,308.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $3,030.34 / $74,999.25	Facility		$555.00	$3,030.34	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,735.48 / $4,346.10 / $9,746.12	Professional		$2,735.48	$4,346.10	$9,746.12
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 $2,561.04 / $3,497.19 / $8,081.57	Professional		$2,561.04	$3,497.19	$8,081.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,322.73 / $3,322.73 / $8,369.86	Facility		$3,322.73	$3,322.73	$8,369.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,794.36 / $3,322.73 / $6,638.97	Professional		$1,794.36	$3,322.73	$6,638.97