Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $4,043.00 / $10,296.00	Facility		$1,819.00	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,471.94 / $2,218.98 / $3,459.14	Professional		$1,471.94	$2,218.98	$3,459.14
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 $1,486.46 / $1,943.09 / $4,390.35	Professional		$1,486.46	$1,943.09	$4,390.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,563.44 / $2,563.44 / $37,499.62	Facility		$2,563.44	$2,563.44	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,563.44 / $2,563.44 / $2,563.44	Professional		$2,563.44	$2,563.44	$2,563.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.34 / $2,059.34 / $7,227.90	Facility		$2,059.34	$2,059.34	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,577.38 / $3,145.05 / $7,066.07	Professional		$1,577.38	$3,145.05	$7,066.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,891.95 / $4,605.37	Facility		$319.00	$1,891.95	$4,605.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,046.83 / $2,449.08 / $3,665.17	Professional		$2,046.83	$2,449.08	$3,665.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,409.96 / $1,982.96 / $3,266.05	Professional		$1,409.96	$1,982.96	$3,266.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,059.34 / $7,227.90	Facility		$555.00	$2,059.34	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,872.08 / $3,049.78 / $6,576.77	Professional		$1,872.08	$3,049.78	$6,576.77
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 $1,474.66 / $2,102.76 / $5,093.81	Professional		$1,474.66	$2,102.76	$5,093.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,332.89 / $2,332.89 / $6,310.58	Facility		$2,332.89	$2,332.89	$6,310.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,409.96 / $2,246.44 / $3,810.45	Professional		$1,409.96	$2,246.44	$3,810.45