Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,184.48 / $3,100.00 / $10,170.00	Facility		$1,184.48	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $903.75 / $1,184.48 / $2,088.21	Professional		$903.75	$1,184.48	$2,088.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $4,975.00 / $11,448.00	Facility		$3,283.00	$4,975.00	$11,448.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $815.68 / $1,012.93 / $2,335.88	Professional		$815.68	$1,012.93	$2,335.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,433.91 / $1,433.91 / $37,499.62	Facility		$1,433.91	$1,433.91	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,433.91 / $1,433.91 / $1,433.91	Professional		$1,433.91	$1,433.91	$1,433.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,129.03 / $1,129.03 / $7,227.90	Facility		$1,129.03	$1,129.03	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $833.12 / $1,483.51 / $3,715.70	Professional		$833.12	$1,483.51	$3,715.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,155.00 / $2,690.10	Facility		$332.00	$1,155.00	$2,690.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,076.04 / $1,383.08 / $2,068.39	Professional		$1,076.04	$1,383.08	$2,068.39
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $927.54 / $927.54 / $927.54	Facility		$927.54	$927.54	$927.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $754.71 / $1,190.59 / $1,847.82	Professional		$754.71	$1,190.59	$1,847.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,129.03 / $7,227.90	Facility		$597.00	$1,129.03	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $952.17 / $1,448.55 / $3,457.71	Professional		$952.17	$1,448.55	$3,457.71
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 $842.35 / $1,202.26 / $2,996.30	Professional		$842.35	$1,202.26	$2,996.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,190.59 / $1,190.59 / $3,408.44	Facility		$1,190.59	$1,190.59	$3,408.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $754.71 / $1,335.31 / $2,531.12	Professional		$754.71	$1,335.31	$2,531.12