Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,766.84 / $4,043.00 / $10,296.00	Facility		$1,766.84	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,633.27 / $1,957.80 / $3,682.31	Professional		$1,633.27	$1,957.80	$3,682.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,568.00 / $7,608.00 / $14,193.00	Facility		$4,568.00	$7,608.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.27 / $1,644.80 / $3,589.40	Professional		$1,258.27	$1,644.80	$3,589.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,144.23 / $2,144.23 / $37,499.62	Facility		$2,144.23	$2,144.23	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,144.23 / $2,144.23 / $2,144.23	Professional		$2,144.23	$2,144.23	$2,144.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,732.84 / $1,732.84 / $7,227.90	Facility		$1,732.84	$1,732.84	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,505.64 / $2,451.28 / $5,537.22	Professional		$1,505.64	$2,451.28	$5,537.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,699.66 / $11,481.68	Facility		$332.00	$2,699.66	$11,481.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,619.79 / $2,159.71 / $3,113.60	Professional		$1,619.79	$2,159.71	$3,113.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,029.99 / $1,451.14 / $2,591.29	Professional		$1,029.99	$1,451.14	$2,591.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,732.84 / $74,999.25	Facility		$555.00	$1,732.84	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,556.48 / $2,451.28 / $5,537.22	Professional		$1,556.48	$2,451.28	$5,537.22
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 $1,527.06 / $2,044.71 / $4,591.51	Professional		$1,527.06	$2,044.71	$4,591.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,900.64 / $1,900.64 / $4,761.63	Facility		$1,900.64	$1,900.64	$4,761.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,029.99 / $2,170.33 / $3,797.56	Professional		$1,029.99	$2,170.33	$3,797.56