Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,480.38 / $3,100.00 / $10,170.00	Facility		$1,480.38	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,109.13 / $1,473.47 / $2,527.87	Professional		$1,109.13	$1,473.47	$2,527.87
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 $1,018.82 / $1,260.89 / $2,870.98	Professional		$1,018.82	$1,260.89	$2,870.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,765.72 / $1,765.72 / $37,499.62	Facility		$1,765.72	$1,765.72	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,765.72 / $1,765.72 / $1,765.72	Professional		$1,765.72	$1,765.72	$1,765.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,423.86 / $1,423.86 / $7,227.90	Facility		$1,423.86	$1,423.86	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,010.91 / $1,860.23 / $4,628.96	Professional		$1,010.91	$1,860.23	$4,628.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,243.00 / $3,365.51	Facility		$332.00	$1,243.00	$3,365.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,346.20 / $1,727.57 / $2,587.69	Professional		$1,346.20	$1,727.57	$2,587.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,156.39 / $1,156.39 / $1,156.39	Facility		$1,156.39	$1,156.39	$1,156.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $956.26 / $1,329.85 / $2,296.17	Professional		$956.26	$1,329.85	$2,296.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,423.86 / $7,227.90	Facility		$597.00	$1,423.86	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,155.00 / $1,814.84 / $4,318.92	Professional		$1,155.00	$1,814.84	$4,318.92
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 $1,043.99 / $1,494.42 / $3,466.84	Professional		$1,043.99	$1,494.42	$3,466.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,479.49 / $1,479.49 / $4,217.93	Facility		$1,479.49	$1,479.49	$4,217.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $956.26 / $1,659.31 / $3,145.29	Professional		$956.26	$1,659.31	$3,145.29