Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $4,910.00 / $11,396.00	Facility		$1,819.00	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,771.90 / $2,087.38 / $3,966.95	Professional		$1,771.90	$2,087.38	$3,966.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,264.00 / $12,538.00	Facility		$4,079.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,359.32 / $1,776.89 / $3,873.06	Professional		$1,359.32	$1,776.89	$3,873.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,185.66 / $2,185.66 / $37,499.62	Facility		$2,185.66	$2,185.66	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,185.66 / $2,185.66 / $2,185.66	Professional		$2,185.66	$2,185.66	$2,185.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,787.42 / $1,787.42 / $7,227.90	Facility		$1,787.42	$1,787.42	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,626.67 / $2,812.04 / $5,787.42	Professional		$1,626.67	$2,812.04	$5,787.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,340.00 / $9,500.40	Facility		$332.00	$2,340.00	$9,500.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,657.90 / $2,210.53 / $3,186.85	Professional		$1,657.90	$2,210.53	$3,186.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,149.13 / $1,516.55 / $2,645.20	Professional		$1,149.13	$1,516.55	$2,645.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,787.42 / $74,999.25	Facility		$555.00	$1,787.42	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,634.48 / $2,744.74 / $5,787.42	Professional		$1,634.48	$2,744.74	$5,787.42
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 $1,563.97 / $2,068.78 / $4,974.00	Professional		$1,563.97	$2,068.78	$4,974.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,940.18 / $1,940.18 / $6,368.13	Facility		$1,940.18	$1,940.18	$6,368.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,149.13 / $2,213.73 / $3,876.57	Professional		$1,149.13	$2,213.73	$3,876.57