Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $3,783.00 / $10,965.00	Facility		$1,819.00	$3,783.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,780.03 / $2,362.76 / $4,198.80	Professional		$1,780.03	$2,362.76	$4,198.80
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 $1,631.36 / $2,025.87 / $4,585.34	Professional		$1,631.36	$2,025.87	$4,585.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,818.16 / $2,818.16 / $37,499.62	Facility		$2,818.16	$2,818.16	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,818.16 / $2,818.16 / $2,818.16	Professional		$2,818.16	$2,818.16	$2,818.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,270.62 / $7,227.90	Facility		$1,765.00	$2,270.62	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,597.23 / $2,986.66 / $7,363.91	Professional		$1,597.23	$2,986.66	$7,363.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,058.00 / $5,352.98	Facility		$332.00	$2,058.00	$5,352.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,141.19 / $2,746.48 / $4,115.84	Professional		$2,141.19	$2,746.48	$4,115.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,836.76 / $1,836.76 / $1,836.76	Facility		$1,836.76	$1,836.76	$1,836.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,551.56 / $2,351.67 / $3,649.79	Professional		$1,551.56	$2,351.67	$3,649.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,270.62 / $41,554.00	Facility		$597.00	$2,270.62	$41,554.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,800.78 / $2,911.37 / $6,866.19	Professional		$1,800.78	$2,911.37	$6,866.19
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 $1,689.00 / $2,402.28 / $5,413.38	Professional		$1,689.00	$2,402.28	$5,413.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,351.67 / $2,351.67 / $7,223.61	Facility		$2,351.67	$2,351.67	$7,223.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,551.56 / $2,466.78 / $4,999.46	Professional		$1,551.56	$2,466.78	$4,999.46