Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.05 / $3,996.00 / $10,296.00	Facility		$1,380.05	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $910.51 / $1,411.45 / $2,194.09	Professional		$910.51	$1,411.45	$2,194.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,697.00	Facility		$4,100.00	$7,264.00	$12,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $936.39 / $1,224.04 / $2,783.54	Professional		$936.39	$1,224.04	$2,783.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,616.16 / $1,616.16 / $37,499.62	Facility		$1,616.16	$1,616.16	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,616.16 / $1,616.16 / $1,616.16	Professional		$1,616.16	$1,616.16	$1,616.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,301.96 / $1,301.96 / $7,227.90	Facility		$1,301.96	$1,301.96	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $990.40 / $1,954.63 / $4,461.56	Professional		$990.40	$1,954.63	$4,461.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,375.00 / $2,921.13	Facility		$319.00	$1,375.00	$2,921.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,298.28 / $1,551.67 / $2,322.16	Professional		$1,298.28	$1,551.67	$2,322.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.58 / $1,391.15 / $2,068.41	Professional		$891.58	$1,391.15	$2,068.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,301.96 / $7,227.90	Facility		$555.00	$1,301.96	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,177.97 / $1,934.44 / $4,133.72	Professional		$1,177.97	$1,934.44	$4,133.72
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 $935.36 / $1,392.33 / $3,581.49	Professional		$935.36	$1,392.33	$3,581.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,477.44 / $1,477.44 / $3,973.28	Facility		$1,477.44	$1,477.44	$3,973.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $891.58 / $1,477.44 / $2,413.17	Professional		$891.58	$1,477.44	$2,413.17