Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,228.00 / $11,996.00	Facility		$1,819.00	$5,228.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,587.19 / $2,011.84 / $5,731.19	Professional		$1,587.19	$2,011.84	$5,731.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,482.24 / $1,937.57 / $4,753.74	Professional		$1,482.24	$1,937.57	$4,753.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,487.06 / $2,487.06 / $13,477.50	Facility		$2,487.06	$2,487.06	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,487.06 / $2,487.06 / $2,487.06	Professional		$2,487.06	$2,487.06	$2,487.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,056.42 / $2,056.42 / $7,227.90	Facility		$2,056.42	$2,056.42	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,648.78 / $3,059.66 / $9,396.93	Professional		$1,648.78	$3,059.66	$9,396.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,980.24 / $5,090.58	Facility		$319.00	$2,980.24	$5,090.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,169.23 / $2,400.75 / $3,914.09	Professional		$2,169.23	$2,400.75	$3,914.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,297.16 / $2,058.05 / $3,271.87	Professional		$1,297.16	$2,058.05	$3,271.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,056.42 / $74,999.25	Facility		$597.00	$2,056.42	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,715.22 / $3,116.19 / $8,589.07	Professional		$1,715.22	$3,116.19	$8,589.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,742.00	Facility		$2,337.00	$6,450.00	$12,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,738.47 / $2,517.96 / $5,820.28	Professional		$1,738.47	$2,517.96	$5,820.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,058.05 / $2,058.05 / $6,983.93	Facility		$2,058.05	$2,058.05	$6,983.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,297.16 / $2,203.80 / $4,221.22	Professional		$1,297.16	$2,203.80	$4,221.22