Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,544.00 / $4,911.00 / $12,089.00	Facility		$1,544.00	$4,911.00	$12,089.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,137.64 / $1,392.04 / $2,586.65	Professional		$1,137.64	$1,392.04	$2,586.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,574.00 / $7,506.00 / $14,226.00	Facility		$4,574.00	$7,506.00	$14,226.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,039.35 / $1,285.66 / $2,938.25	Professional		$1,039.35	$1,285.66	$2,938.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,805.23 / $13,261.00 / $37,499.62	Facility		$1,805.23	$13,261.00	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,805.23 / $1,805.23 / $1,805.23	Professional		$1,805.23	$1,805.23	$1,805.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,455.76 / $27,393.00 / $36,587.00	Facility		$1,455.76	$27,393.00	$36,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,091.66 / $1,943.69 / $4,733.89	Professional		$1,091.66	$1,943.69	$4,733.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,537.78 / $30,278.00	Facility		$332.00	$1,537.78	$30,278.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,377.50 / $1,766.77 / $2,647.87	Professional		$1,377.50	$1,766.77	$2,647.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,182.91 / $1,182.91 / $1,182.91	Facility		$1,182.91	$1,182.91	$1,182.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $992.25 / $1,360.35 / $2,348.04	Professional		$992.25	$1,360.35	$2,348.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,455.76 / $15,713.00 / $36,587.00	Facility		$1,455.76	$15,713.00	$36,587.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,091.66 / $1,842.02 / $4,410.38	Professional		$1,091.66	$1,842.02	$4,410.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $7,787.00 / $40,496.00	Facility		$1,693.00	$7,787.00	$40,496.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,079.45 / $1,519.33 / $3,855.52	Professional		$1,079.45	$1,519.33	$3,855.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,512.91 / $1,512.91 / $3,775.59	Facility		$1,512.91	$1,512.91	$3,775.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $992.25 / $1,696.79 / $3,216.33	Professional		$992.25	$1,696.79	$3,216.33