Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.75 / $4,392.00 / $10,296.00	Facility		$1,819.75	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,396.09 / $2,533.63 / $4,146.68	Professional		$1,396.09	$2,533.63	$4,146.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $10,294.00 / $24,288.00	Facility		$4,989.00	$10,294.00	$24,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,629.11 / $2,129.56 / $5,072.87	Professional		$1,629.11	$2,129.56	$5,072.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,848.30 / $2,848.30 / $37,499.62	Facility		$2,848.30	$2,848.30	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,848.30 / $2,848.30 / $2,848.30	Professional		$2,848.30	$2,848.30	$2,848.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,314.58 / $2,314.58 / $7,227.90	Facility		$2,314.58	$2,314.58	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,941.27 / $3,499.47 / $7,931.49	Professional		$1,941.27	$3,499.47	$7,931.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,348.00 / $5,520.74	Facility		$319.00	$2,348.00	$5,520.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,422.10 / $2,755.73 / $4,244.83	Professional		$2,422.10	$2,755.73	$4,244.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,301.82 / $2,470.66 / $3,664.44	Professional		$1,301.82	$2,470.66	$3,664.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,314.58 / $7,227.90	Facility		$555.00	$2,314.58	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,941.27 / $3,327.38 / $7,810.27	Professional		$1,941.27	$3,327.38	$7,810.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,767.76 / $2,571.50 / $6,438.83	Professional		$1,767.76	$2,571.50	$6,438.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,617.46 / $2,617.46 / $6,470.36	Facility		$2,617.46	$2,617.46	$6,470.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,301.82 / $2,617.46 / $4,275.24	Professional		$1,301.82	$2,617.46	$4,275.24