Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,574.60 / $4,043.00 / $10,296.00	Facility		$1,574.60	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,471.26 / $1,836.77 / $3,646.08	Professional		$1,471.26	$1,836.77	$3,646.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,538.00	Facility		$4,100.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,133.84 / $1,482.16 / $3,231.86	Professional		$1,133.84	$1,482.16	$3,231.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,930.10 / $1,930.10 / $37,499.62	Facility		$1,930.10	$1,930.10	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,930.10 / $1,930.10 / $1,930.10	Professional		$1,930.10	$1,930.10	$1,930.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,560.95 / $1,560.95 / $7,227.90	Facility		$1,560.95	$1,560.95	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,351.88 / $2,192.94 / $4,975.22	Professional		$1,351.88	$2,192.94	$4,975.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,419.01 / $10,994.48	Facility		$332.00	$2,419.01	$10,994.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,451.40 / $1,935.20 / $2,789.92	Professional		$1,451.40	$1,935.20	$2,789.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $930.01 / $1,310.42 / $2,340.01	Professional		$930.01	$1,310.42	$2,340.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,560.95 / $74,999.25	Facility		$555.00	$1,560.95	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,399.36 / $2,209.44 / $4,954.68	Professional		$1,399.36	$2,209.44	$4,954.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $4,114.00 / $8,133.00	Facility		$1,479.00	$4,114.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,361.19 / $1,826.87 / $4,394.74	Professional		$1,361.19	$1,826.87	$4,394.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,716.33 / $1,716.33 / $4,878.51	Facility		$1,716.33	$1,716.33	$4,878.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $930.01 / $1,951.04 / $3,429.31	Professional		$930.01	$1,951.04	$3,429.31