Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,665.64 / $3,996.00 / $10,296.00	Facility		$1,665.64	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,225.28 / $1,699.17 / $3,132.25	Professional		$1,225.28	$1,699.17	$3,132.25
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 $1,130.24 / $1,477.45 / $3,359.01	Professional		$1,130.24	$1,477.45	$3,359.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,951.26 / $1,951.26 / $37,499.62	Facility		$1,951.26	$1,951.26	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,951.26 / $1,951.26 / $1,951.26	Professional		$1,951.26	$1,951.26	$1,951.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,570.81 / $1,570.81 / $7,227.90	Facility		$1,570.81	$1,570.81	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,196.49 / $2,393.14 / $5,387.77	Professional		$1,196.49	$2,393.14	$5,387.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,270.00 / $3,632.00	Facility		$319.00	$2,270.00	$3,632.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,565.81 / $1,871.99 / $2,801.54	Professional		$1,565.81	$1,871.99	$2,801.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,068.34 / $1,678.35 / $2,496.03	Professional		$1,068.34	$1,678.35	$2,496.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,570.81 / $7,227.90	Facility		$555.00	$1,570.81	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,422.00 / $2,333.06 / $4,993.55	Professional		$1,422.00	$2,333.06	$4,993.55
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 $1,154.85 / $1,736.11 / $4,461.07	Professional		$1,154.85	$1,736.11	$4,461.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,782.88 / $1,782.88 / $4,821.57	Facility		$1,782.88	$1,782.88	$4,821.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,068.34 / $1,782.88 / $2,912.08	Professional		$1,068.34	$1,782.88	$2,912.08