Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,797.37 / $5,960.00 / $11,996.00	Facility		$1,797.37	$5,960.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,461.17 / $1,829.63 / $2,264.56	Professional		$1,461.17	$1,829.63	$2,264.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $10,355.00 / $24,288.00	Facility		$4,989.00	$10,355.00	$24,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,957.98 / $2,355.86 / $4,010.18	Professional		$1,957.98	$2,355.86	$4,010.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,266.71 / $2,266.71 / $18,749.82	Facility		$2,266.71	$2,266.71	$18,749.82
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,266.71 / $2,266.71 / $2,266.71	Professional		$2,266.71	$2,266.71	$2,266.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,904.81 / $1,904.81 / $7,227.90	Facility		$1,904.81	$1,904.81	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,669.15 / $2,812.92 / $5,748.74	Professional		$1,669.15	$2,812.92	$5,748.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $38,357.00 / $47,648.00 / $71,078.00	Facility		$38,357.00	$47,648.00	$71,078.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $863.00 / $863.00 / $863.00	Professional		$863.00	$863.00	$863.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $969.81 / $1,634.86 / $2,919.36	Professional		$969.81	$1,634.86	$2,919.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,904.81 / $74,999.25	Facility		$555.00	$1,904.81	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,681.98 / $3,195.80 / $5,722.05	Professional		$1,681.98	$3,195.80	$5,722.05
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 $1,350.62 / $2,016.53 / $4,716.31	Professional		$1,350.62	$2,016.53	$4,716.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,038.59 / $2,141.27 / $2,141.27	Facility		$2,038.59	$2,141.27	$2,141.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $969.81 / $2,141.27 / $3,377.49	Professional		$969.81	$2,141.27	$3,377.49