Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $965.00 / $5,796.00 / $11,609.00	Facility		$965.00	$5,796.00	$11,609.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.43 / $1,805.04 / $11,045.10	Professional		$729.43	$1,805.04	$11,045.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $9,750.00 / $17,761.00	Facility		$4,989.00	$9,750.00	$17,761.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,076.52 / $6,839.20 / $15,654.78	Professional		$5,076.52	$6,839.20	$15,654.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $932.46 / $2,390.00 / $13,477.50	Facility		$932.46	$2,390.00	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $932.46 / $932.46 / $10,204.56	Professional		$932.46	$932.46	$10,204.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,110.68 / $1,110.68 / $7,227.90	Facility		$1,110.68	$1,110.68	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $656.26 / $2,195.46 / $17,289.95	Professional		$656.26	$2,195.46	$17,289.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $848.00 / $1,625.67	Facility		$319.00	$848.00	$1,625.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6,280.22 / $8,264.37 / $12,395.74	Professional		$6,280.22	$8,264.37	$12,395.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,015.54 / $6,576.95 / $11,017.89	Professional		$5,015.54	$6,576.95	$11,017.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,110.68 / $74,999.25	Facility		$555.00	$1,110.68	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $773.20 / $6,992.93 / $17,779.08	Professional		$773.20	$6,992.93	$17,779.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $7,719.00 / $33,590.00	Facility		$2,705.00	$7,719.00	$33,590.00
United Facility/Professional Professional Modifier Low / Median / High Price $6,448.65 / $8,776.03 / $20,275.12	Professional		$6,448.65	$8,776.03	$20,275.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $822.05 / $822.05 / $1,454.43	Facility		$822.05	$822.05	$1,454.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,454.43 / $6,576.95 / $11,787.79	Professional		$1,454.43	$6,576.95	$11,787.79