Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,324.00 / $22,858.00	Facility		$1,819.00	$5,324.00	$22,858.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,609.12 / $1,931.64 / $3,727.94	Professional		$1,609.12	$1,931.64	$3,727.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,614.00 / $7,015.00 / $29,556.00	Facility		$3,614.00	$7,015.00	$29,556.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,470.70 / $1,826.36 / $4,148.85	Professional		$1,470.70	$1,826.36	$4,148.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,547.76 / $2,547.76 / $37,499.62	Facility		$2,547.76	$2,547.76	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,547.76 / $2,547.76 / $2,547.76	Professional		$2,547.76	$2,547.76	$2,547.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,060.11 / $7,227.90 / $27,393.00	Facility		$2,060.11	$7,227.90	$27,393.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,504.68 / $2,696.97 / $6,685.98	Professional		$1,504.68	$2,696.97	$6,685.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,120.00 / $10,741.81	Facility		$332.00	$2,120.00	$10,741.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,945.20 / $2,492.73 / $3,739.10	Professional		$1,945.20	$2,492.73	$3,739.10
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,669.43 / $1,669.43 / $1,669.43	Facility		$1,669.43	$1,669.43	$1,669.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,388.90 / $2,135.62 / $3,314.48	Professional		$1,388.90	$2,135.62	$3,314.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $7,227.90 / $31,478.00	Facility		$1,765.00	$7,227.90	$31,478.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,746.77 / $2,640.97 / $6,387.24	Professional		$1,746.77	$2,640.97	$6,387.24
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,754.00 / $38,980.00	Facility		$996.00	$4,754.00	$38,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,536.32 / $2,169.48 / $4,934.47	Professional		$1,536.32	$2,169.48	$4,934.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,135.62 / $2,135.62 / $6,414.91	Facility		$2,135.62	$2,135.62	$6,414.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,388.90 / $2,395.17 / $4,540.16	Professional		$1,388.90	$2,395.17	$4,540.16