Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $5,877.85 / $10,314.00	Facility		$2,600.00	$5,877.85	$10,314.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,389.35 / $5,671.63 / $9,883.75	Professional		$4,389.35	$5,671.63	$9,883.75
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 $4,013.13 / $4,931.17 / $11,273.72	Professional		$4,013.13	$4,931.17	$11,273.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $6,921.79 / $6,921.79 / $37,499.62	Facility		$6,921.79	$6,921.79	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $6,921.79 / $6,921.79 / $6,921.79	Professional		$6,921.79	$6,921.79	$6,921.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $5,597.96 / $7,227.90	Facility		$1,765.00	$5,597.96	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,916.98 / $7,374.57 / $18,093.87	Professional		$3,916.98	$7,374.57	$18,093.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,048.00 / $10,312.40	Facility		$332.00	$3,048.00	$10,312.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,263.53 / $6,748.21 / $10,117.68	Professional		$5,263.53	$6,748.21	$10,117.68
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,510.17 / $4,510.17 / $4,510.17	Facility		$4,510.17	$4,510.17	$4,510.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,876.58 / $5,186.70 / $8,959.91	Professional		$3,876.58	$5,186.70	$8,959.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $5,597.96 / $7,227.90	Facility		$597.00	$5,597.96	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,923.20 / $7,120.56 / $16,870.53	Professional		$3,923.20	$7,120.56	$16,870.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,331.00 / $4,194.00 / $9,020.04	Facility		$1,331.00	$4,194.00	$9,020.04
United Facility/Professional Professional Modifier Low / Median / High Price $4,153.93 / $5,719.01 / $13,637.30	Professional		$4,153.93	$5,719.01	$13,637.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $5,773.14 / $5,773.14 / $14,110.68	Facility		$5,773.14	$5,773.14	$14,110.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,876.58 / $6,474.80 / $12,203.48	Professional		$3,876.58	$6,474.80	$12,203.48