Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,559.00 / $4,832.10 / $10,296.00	Facility		$2,559.00	$4,832.10	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,857.70 / $3,640.08 / $6,518.25	Professional		$2,857.70	$3,640.08	$6,518.25
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 $2,237.71 / $2,925.12 / $6,329.24	Professional		$2,237.71	$2,925.12	$6,329.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,824.53 / $3,824.53 / $37,499.62	Facility		$3,824.53	$3,824.53	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,824.53 / $3,824.53 / $3,824.53	Professional		$3,824.53	$3,824.53	$3,824.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,095.22 / $3,095.22 / $7,227.90	Facility		$3,095.22	$3,095.22	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,651.30 / $4,368.04 / $9,855.79	Professional		$2,651.30	$4,368.04	$9,855.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $4,819.59 / $20,543.59	Facility		$332.00	$4,819.59	$20,543.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,891.75 / $3,855.67 / $5,561.00	Professional		$2,891.75	$3,855.67	$5,561.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,832.29 / $2,594.41 / $4,632.83	Professional		$1,832.29	$2,594.41	$4,632.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $3,095.22 / $74,999.25	Facility		$555.00	$3,095.22	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,778.83 / $4,383.18 / $9,855.79	Professional		$2,778.83	$4,383.18	$9,855.79
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 $2,730.34 / $3,639.38 / $8,172.50	Professional		$2,730.34	$3,639.38	$8,172.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,398.06 / $3,398.06 / $9,849.61	Facility		$3,398.06	$3,398.06	$9,849.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,832.29 / $3,875.92 / $6,789.47	Professional		$1,832.29	$3,875.92	$6,789.47