Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $4,043.00 / $10,296.00	Facility		$1,819.00	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,782.06 / $2,106.21 / $3,721.77	Professional		$1,782.06	$2,106.21	$3,721.77
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 $1,309.52 / $1,711.80 / $3,808.92	Professional		$1,309.52	$1,711.80	$3,808.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,204.76 / $2,204.76 / $37,499.62	Facility		$2,204.76	$2,204.76	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,204.76 / $2,204.76 / $2,204.76	Professional		$2,204.76	$2,204.76	$2,204.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,803.35 / $1,803.35 / $7,227.90	Facility		$1,803.35	$1,803.35	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,603.60 / $2,776.24 / $5,835.48	Professional		$1,603.60	$2,776.24	$5,835.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,622.00 / $4,649.60	Facility		$319.00	$2,622.00	$4,649.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,672.35 / $2,229.80 / $3,214.63	Professional		$1,672.35	$2,229.80	$3,214.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,144.30 / $1,496.46 / $2,669.18	Professional		$1,144.30	$1,496.46	$2,669.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,803.35 / $74,999.25	Facility		$555.00	$1,803.35	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,648.45 / $2,767.65 / $5,835.48	Professional		$1,648.45	$2,767.65	$5,835.48
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 $1,588.43 / $2,119.42 / $4,838.84	Professional		$1,588.43	$2,119.42	$4,838.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,957.77 / $1,957.77 / $6,267.42	Facility		$1,957.77	$1,957.77	$6,267.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,144.30 / $2,233.37 / $3,911.72	Professional		$1,144.30	$2,233.37	$3,911.72