Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,382.02 / $4,043.00 / $10,296.00	Facility		$1,382.02	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,282.22 / $1,545.21 / $2,907.50	Professional		$1,282.22	$1,545.21	$2,907.50
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 $991.53 / $1,296.13 / $2,865.82	Professional		$991.53	$1,296.13	$2,865.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,692.96 / $1,692.96 / $37,499.62	Facility		$1,692.96	$1,692.96	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,692.96 / $1,692.96 / $1,692.96	Professional		$1,692.96	$1,692.96	$1,692.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,322.21 / $1,322.21 / $7,227.90	Facility		$1,322.21	$1,322.21	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,204.10 / $2,040.63 / $4,440.66	Professional		$1,204.10	$2,040.63	$4,440.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,926.29 / $3,468.80	Facility		$319.00	$1,926.29	$3,468.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,226.99 / $1,635.98 / $2,358.54	Professional		$1,226.99	$1,635.98	$2,358.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $827.63 / $1,100.48 / $1,958.29	Professional		$827.63	$1,100.48	$1,958.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,322.21 / $74,999.25	Facility		$555.00	$1,322.21	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,219.33 / $1,980.23 / $4,379.35	Professional		$1,219.33	$1,980.23	$4,379.35
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 $1,105.25 / $1,560.46 / $3,816.53	Professional		$1,105.25	$1,560.46	$3,816.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,436.35 / $1,436.35 / $4,624.97	Facility		$1,436.35	$1,436.35	$4,624.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $827.63 / $1,638.92 / $2,869.89	Professional		$827.63	$1,638.92	$2,869.89