Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,549.91 / $5,699.00 / $22,762.00	Facility		$1,549.91	$5,699.00	$22,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,137.64 / $1,384.54 / $2,586.65	Professional		$1,137.64	$1,384.54	$2,586.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,768.00 / $8,812.00 / $30,866.00	Facility		$4,768.00	$8,812.00	$30,866.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,041.89 / $1,293.85 / $2,947.34	Professional		$1,041.89	$1,293.85	$2,947.34
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 / $24,654.00 / $36,587.00	Facility		$1,455.76	$24,654.00	$36,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,091.66 / $1,945.87 / $4,733.89	Professional		$1,091.66	$1,945.87	$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 / $1,767.66 / $2,647.87	Professional		$1,377.50	$1,767.66	$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 $992.22 / $1,512.91 / $2,348.04	Professional		$992.22	$1,512.91	$2,348.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,455.76 / $14,057.00 / $36,587.00	Facility		$1,455.76	$14,057.00	$36,587.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,091.66 / $1,842.02 / $4,407.93	Professional		$1,091.66	$1,842.02	$4,407.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $9,136.00 / $40,496.00	Facility		$2,160.00	$9,136.00	$40,496.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,078.35 / $1,519.33 / $3,484.38	Professional		$1,078.35	$1,519.33	$3,484.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,512.91 / $1,512.91 / $3,776.93	Facility		$1,512.91	$1,512.91	$3,776.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $992.22 / $1,696.79 / $3,216.33	Professional		$992.22	$1,696.79	$3,216.33