Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,336.96 / $4,910.00 / $11,396.00	Facility		$1,336.96	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,269.83 / $1,504.10 / $2,740.91	Professional		$1,269.83	$1,504.10	$2,740.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,583.00 / $8,134.00 / $16,083.00	Facility		$4,583.00	$8,134.00	$16,083.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $931.57 / $1,217.75 / $2,666.14	Professional		$931.57	$1,217.75	$2,666.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,573.86 / $1,573.86 / $37,499.62	Facility		$1,573.86	$1,573.86	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,573.86 / $1,573.86 / $1,573.86	Professional		$1,573.86	$1,573.86	$1,573.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,286.90 / $1,286.90 / $7,227.90	Facility		$1,286.90	$1,286.90	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,140.29 / $1,978.21 / $4,150.55	Professional		$1,140.29	$1,978.21	$4,150.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,992.18 / $8,465.10	Facility		$332.00	$1,992.18	$8,465.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,328.12 / $1,723.40 / $2,297.65	Professional		$1,328.12	$1,723.40	$2,297.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $820.50 / $1,168.58 / $1,811.78	Professional		$820.50	$1,168.58	$1,811.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,286.90 / $74,999.25	Facility		$555.00	$1,286.90	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,174.56 / $1,902.36 / $4,150.55	Professional		$1,174.56	$1,902.36	$4,150.55
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 $1,123.82 / $1,466.38 / $3,441.67	Professional		$1,123.82	$1,466.38	$3,441.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,399.83 / $1,399.83 / $4,593.43	Facility		$1,399.83	$1,399.83	$4,593.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $820.50 / $1,399.83 / $2,796.93	Professional		$820.50	$1,399.83	$2,796.93