Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.38 / $5,228.00 / $11,996.00	Facility		$1,872.38	$5,228.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,872.38 / $2,257.51 / $6,332.35	Professional		$1,872.38	$2,257.51	$6,332.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,268.00 / $12,869.00	Facility		$4,100.00	$7,268.00	$12,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,674.69 / $2,189.15 / $5,337.48	Professional		$1,674.69	$2,189.15	$5,337.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,795.03 / $2,795.03 / $37,499.62	Facility		$2,795.03	$2,795.03	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,795.03 / $2,795.03 / $2,795.03	Professional		$2,795.03	$2,795.03	$2,795.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,311.25 / $2,311.25 / $7,227.90	Facility		$2,311.25	$2,311.25	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,906.70 / $3,247.95 / $10,354.34	Professional		$1,906.70	$3,247.95	$10,354.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,396.35 / $6,272.00	Facility		$319.00	$3,396.35	$6,272.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,433.05 / $2,691.10 / $4,397.12	Professional		$2,433.05	$2,691.10	$4,397.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,530.05 / $2,306.88 / $3,667.45	Professional		$1,530.05	$2,306.88	$3,667.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,311.25 / $74,999.25	Facility		$597.00	$2,311.25	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,994.57 / $3,422.89 / $9,877.26	Professional		$1,994.57	$3,422.89	$9,877.26
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 $2,045.53 / $2,994.26 / $6,853.53	Professional		$2,045.53	$2,994.26	$6,853.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,306.88 / $2,306.88 / $8,364.77	Facility		$2,306.88	$2,306.88	$8,364.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,530.05 / $2,315.03 / $4,731.58	Professional		$1,530.05	$2,315.03	$4,731.58