Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,824.48 / $4,910.00 / $11,396.00	Facility		$1,824.48	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,824.48 / $2,157.39 / $3,933.89	Professional		$1,824.48	$2,157.39	$3,933.89
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 $1,342.06 / $1,754.33 / $3,853.19	Professional		$1,342.06	$1,754.33	$3,853.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,259.86 / $2,259.86 / $37,499.62	Facility		$2,259.86	$2,259.86	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,259.86 / $2,259.86 / $2,259.86	Professional		$2,259.86	$2,259.86	$2,259.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,847.95 / $1,847.95 / $7,227.90	Facility		$1,847.95	$1,847.95	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,643.72 / $2,812.71 / $5,982.23	Professional		$1,643.72	$2,812.71	$5,982.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,625.00 / $10,657.50	Facility		$332.00	$2,625.00	$10,657.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,713.45 / $2,284.60 / $3,293.63	Professional		$1,713.45	$2,284.60	$3,293.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,177.81 / $1,583.71 / $2,596.15	Professional		$1,177.81	$1,583.71	$2,596.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,847.95 / $74,999.25	Facility		$555.00	$1,847.95	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,688.07 / $2,743.70 / $5,982.23	Professional		$1,688.07	$2,743.70	$5,982.23
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 $1,650.70 / $2,209.60 / $5,363.23	Professional		$1,650.70	$2,209.60	$5,363.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,006.02 / $2,006.02 / $6,369.46	Facility		$2,006.02	$2,006.02	$6,369.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,177.81 / $2,288.25 / $4,008.12	Professional		$1,177.81	$2,288.25	$4,008.12