Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $3,831.29 / $10,170.00	Facility		$1,819.00	$3,831.29	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,916.46 / $2,525.54 / $4,197.68	Professional		$1,916.46	$2,525.54	$4,197.68
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 $1,746.72 / $2,149.71 / $4,841.83	Professional		$1,746.72	$2,149.71	$4,841.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,050.78 / $3,050.78 / $37,499.62	Facility		$3,050.78	$3,050.78	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,050.78 / $3,050.78 / $3,050.78	Professional		$3,050.78	$3,050.78	$3,050.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,462.84 / $7,227.90	Facility		$1,765.00	$2,462.84	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,692.00 / $3,138.79 / $8,028.49	Professional		$1,692.00	$3,138.79	$8,028.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,953.00 / $5,847.59	Facility		$332.00	$1,953.00	$5,847.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,339.04 / $3,026.93 / $4,496.14	Professional		$2,339.04	$3,026.93	$4,496.14
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,010.52 / $2,010.52 / $2,010.52	Facility		$2,010.52	$2,010.52	$2,010.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,576.56 / $2,567.19 / $3,984.30	Professional		$1,576.56	$2,567.19	$3,984.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,462.84 / $7,227.90	Facility		$597.00	$2,462.84	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,855.70 / $3,046.46 / $7,303.93	Professional		$1,855.70	$3,046.46	$7,303.93
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 $1,796.89 / $2,582.52 / $5,938.62	Professional		$1,796.89	$2,582.52	$5,938.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,567.19 / $2,567.19 / $7,141.95	Facility		$2,567.19	$2,567.19	$7,141.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,576.56 / $2,700.14 / $5,457.66	Professional		$1,576.56	$2,700.14	$5,457.66