Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,474.22 / $3,996.00 / $10,296.00	Facility		$1,474.22	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $987.06 / $1,491.58 / $2,345.40	Professional		$987.06	$1,491.58	$2,345.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,221.66 / $11,909.00	Facility		$3,283.00	$5,221.66	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $997.16 / $1,303.48 / $2,975.00	Professional		$997.16	$1,303.48	$2,975.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,725.63 / $1,725.63 / $37,499.62	Facility		$1,725.63	$1,725.63	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,725.63 / $1,725.63 / $1,725.63	Professional		$1,725.63	$1,725.63	$1,725.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,389.83 / $1,389.83 / $7,227.90	Facility		$1,389.83	$1,389.83	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,059.30 / $2,119.03 / $4,768.09	Professional		$1,059.30	$2,119.03	$4,768.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,043.00 / $3,268.80	Facility		$319.00	$2,043.00	$3,268.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,387.81 / $1,665.37 / $2,481.53	Professional		$1,387.81	$1,665.37	$2,481.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $941.33 / $1,341.83 / $2,210.07	Professional		$941.33	$1,341.83	$2,210.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,389.83 / $7,227.90	Facility		$555.00	$1,389.83	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,256.22 / $2,067.84 / $4,485.56	Professional		$1,256.22	$2,067.84	$4,485.56
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 $1,034.01 / $1,545.07 / $4,169.53	Professional		$1,034.01	$1,545.07	$4,169.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,578.62 / $1,578.62 / $4,234.08	Facility		$1,578.62	$1,578.62	$4,234.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $941.33 / $1,520.12 / $2,578.44	Professional		$941.33	$1,520.12	$2,578.44