Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,592.92 / $3,100.00 / $10,170.00	Facility		$1,592.92	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,199.75 / $1,592.92 / $2,746.25	Professional		$1,199.75	$1,592.92	$2,746.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,869.00	Facility		$4,100.00	$7,264.00	$12,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,107.74 / $1,375.62 / $3,097.90	Professional		$1,107.74	$1,375.62	$3,097.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,915.03 / $1,915.03 / $37,499.62	Facility		$1,915.03	$1,915.03	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,915.03 / $1,915.03 / $1,915.03	Professional		$1,915.03	$1,915.03	$1,915.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,547.29 / $1,547.29 / $7,227.90	Facility		$1,547.29	$1,547.29	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,093.95 / $2,023.58 / $5,023.35	Professional		$1,093.95	$2,023.58	$5,023.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,800.00 / $3,656.25	Facility		$332.00	$1,800.00	$3,656.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,462.50 / $1,874.68 / $2,811.25	Professional		$1,462.50	$1,874.68	$2,811.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,255.49 / $1,255.49 / $1,255.49	Facility		$1,255.49	$1,255.49	$1,255.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,056.18 / $1,605.00 / $2,490.96	Professional		$1,056.18	$1,605.00	$2,490.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,547.29 / $7,227.90	Facility		$597.00	$1,547.29	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,225.28 / $1,962.33 / $4,681.92	Professional		$1,225.28	$1,962.33	$4,681.92
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,194.00 / $9,020.04	Facility		$996.00	$4,194.00	$9,020.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,146.56 / $1,601.65 / $3,775.32	Professional		$1,146.56	$1,601.65	$3,775.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,605.00 / $1,605.00 / $4,874.75	Facility		$1,605.00	$1,605.00	$4,874.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,056.18 / $1,800.07 / $3,412.10	Professional		$1,056.18	$1,800.07	$3,412.10