Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.23 / $4,043.00 / $10,296.00	Facility		$1,737.23	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,657.70 / $1,946.19 / $3,629.41	Professional		$1,657.70	$1,946.19	$3,629.41
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 $1,251.25 / $1,635.63 / $3,426.32	Professional		$1,251.25	$1,635.63	$3,426.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,037.42 / $3,183.00 / $13,009.50	Facility		$2,037.42	$3,183.00	$13,009.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,037.42 / $2,037.42 / $2,037.42	Professional		$2,037.42	$2,037.42	$2,037.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,666.36 / $1,666.36 / $7,227.90	Facility		$1,666.36	$1,666.36	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,515.93 / $2,639.51 / $5,436.52	Professional		$1,515.93	$2,639.51	$5,436.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,426.05 / $4,456.00	Facility		$319.00	$2,426.05	$4,456.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,545.10 / $2,060.14 / $2,970.03	Professional		$1,545.10	$2,060.14	$2,970.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,090.84 / $1,381.98 / $2,467.80	Professional		$1,090.84	$1,381.98	$2,467.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,666.36 / $74,999.25	Facility		$555.00	$1,666.36	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,523.07 / $2,403.25 / $5,389.30	Professional		$1,523.07	$2,403.25	$5,389.30
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 $1,458.28 / $1,895.10 / $4,468.85	Professional		$1,458.28	$1,895.10	$4,468.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,810.06 / $1,810.06 / $4,970.47	Facility		$1,810.06	$1,810.06	$4,970.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,090.84 / $2,064.12 / $3,616.59	Professional		$1,090.84	$2,064.12	$3,616.59