Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,821.00 / $4,043.00 / $10,296.00	Facility		$1,821.00	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,895.10 / $2,251.38 / $4,106.89	Professional		$1,895.10	$2,251.38	$4,106.89
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 $1,400.05 / $1,830.14 / $4,059.19	Professional		$1,400.05	$1,830.14	$4,059.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,357.37 / $2,357.37 / $37,499.62	Facility		$2,357.37	$2,357.37	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,357.37 / $2,357.37 / $2,357.37	Professional		$2,357.37	$2,357.37	$2,357.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,927.82 / $1,927.82 / $7,227.90	Facility		$1,927.82	$1,927.82	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,714.49 / $2,937.90 / $6,238.63	Professional		$1,714.49	$2,937.90	$6,238.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,758.99 / $5,147.20	Facility		$319.00	$2,758.99	$5,147.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,787.12 / $2,382.83 / $3,435.24	Professional		$1,787.12	$2,382.83	$3,435.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,240.56 / $1,600.95 / $2,707.64	Professional		$1,240.56	$1,600.95	$2,707.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,927.82 / $74,999.25	Facility		$555.00	$1,927.82	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,762.32 / $2,861.86 / $6,238.63	Professional		$1,762.32	$2,861.86	$6,238.63
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 $1,532.77 / $2,152.21 / $5,173.12	Professional		$1,532.77	$2,152.21	$5,173.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,092.31 / $2,092.31 / $6,823.92	Facility		$2,092.31	$2,092.31	$6,823.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,240.56 / $2,386.53 / $4,180.53	Professional		$1,240.56	$2,386.53	$4,180.53