Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $3,196.50 / $9,661.00	Facility		$1,819.00	$3,196.50	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,609.16 / $2,136.46 / $3,665.47	Professional		$1,609.16	$2,136.46	$3,665.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $4,922.00 / $11,208.00	Facility		$3,283.00	$4,922.00	$11,208.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,483.36 / $1,842.08 / $4,164.68	Professional		$1,483.36	$1,842.08	$4,164.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,559.42 / $2,559.42 / $37,499.62	Facility		$2,559.42	$2,559.42	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,559.42 / $2,559.42 / $2,559.42	Professional		$2,559.42	$2,559.42	$2,559.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,068.42 / $7,227.90	Facility		$1,765.00	$2,068.42	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,443.47 / $2,710.16 / $6,706.75	Professional		$1,443.47	$2,710.16	$6,706.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,155.00 / $4,880.07	Facility		$332.00	$1,155.00	$4,880.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,952.03 / $2,500.25 / $3,752.23	Professional		$1,952.03	$2,500.25	$3,752.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,674.50 / $1,674.50 / $1,674.50	Facility		$1,674.50	$1,674.50	$1,674.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,393.55 / $1,925.68 / $3,324.15	Professional		$1,393.55	$1,925.68	$3,324.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,068.42 / $7,227.90	Facility		$597.00	$2,068.42	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,614.60 / $2,621.45 / $6,252.14	Professional		$1,614.60	$2,621.45	$6,252.14
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 $1,531.06 / $2,183.58 / $4,969.67	Professional		$1,531.06	$2,183.58	$4,969.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,141.85 / $2,141.85 / $6,455.11	Facility		$2,141.85	$2,141.85	$6,455.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,393.55 / $2,248.86 / $4,553.39	Professional		$1,393.55	$2,248.86	$4,553.39