Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,164.00 / $11,396.00	Facility		$1,819.00	$5,164.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,777.16 / $2,271.50 / $3,358.74	Professional		$1,777.16	$2,271.50	$3,358.74
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 $1,438.34 / $1,880.19 / $4,260.47	Professional		$1,438.34	$1,880.19	$4,260.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,482.50 / $2,482.50 / $37,499.62	Facility		$2,482.50	$2,482.50	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,482.50 / $2,482.50 / $2,482.50	Professional		$2,482.50	$2,482.50	$2,482.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,997.03 / $1,997.03 / $7,227.90	Facility		$1,997.03	$1,997.03	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,520.48 / $3,050.09 / $6,844.88	Professional		$1,520.48	$3,050.09	$6,844.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,025.00 / $4,471.70	Facility		$319.00	$2,025.00	$4,471.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,987.42 / $2,377.33 / $3,557.80	Professional		$1,987.42	$2,377.33	$3,557.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,425.04 / $2,111.06 / $3,193.77	Professional		$1,425.04	$2,111.06	$3,193.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,997.03 / $23,612.00	Facility		$597.00	$1,997.03	$23,612.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,810.65 / $2,961.26 / $6,353.81	Professional		$1,810.65	$2,961.26	$6,353.81
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 $1,448.41 / $2,210.61 / $5,280.42	Professional		$1,448.41	$2,210.61	$5,280.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,330.36 / $2,330.36 / $5,861.17	Facility		$2,330.36	$2,330.36	$5,861.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,455.41 / $2,330.36 / $3,696.78	Professional		$1,455.41	$2,330.36	$3,696.78