Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,080.37 / $5,228.00 / $11,996.00	Facility		$2,080.37	$5,228.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,080.37 / $2,626.63 / $6,518.36	Professional		$2,080.37	$2,626.63	$6,518.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,793.00 / $9,974.00 / $17,122.00	Facility		$4,793.00	$9,974.00	$17,122.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,718.87 / $2,246.89 / $5,488.24	Professional		$1,718.87	$2,246.89	$5,488.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,888.05 / $2,888.05 / $37,499.62	Facility		$2,888.05	$2,888.05	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,888.05 / $2,888.05 / $2,888.05	Professional		$2,888.05	$2,888.05	$2,888.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,388.59 / $2,388.59 / $7,227.90	Facility		$2,388.59	$2,388.59	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,996.36 / $3,570.87 / $10,964.07	Professional		$1,996.36	$3,570.87	$10,964.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,512.98 / $7,056.00	Facility		$319.00	$3,512.98	$7,056.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,515.81 / $3,204.03 / $11,502.98	Professional		$2,515.81	$3,204.03	$11,502.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,671.15 / $2,028.78 / $3,794.50	Professional		$1,671.15	$2,028.78	$3,794.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,388.59 / $74,999.25	Facility		$597.00	$2,388.59	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,108.07 / $3,913.11 / $10,908.07	Professional		$2,108.07	$3,913.11	$10,908.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $3,988.00 / $7,920.00	Facility		$1,479.00	$3,988.00	$7,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,015.64 / $2,965.91 / $7,048.86	Professional		$2,015.64	$2,965.91	$7,048.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,386.80 / $2,386.80 / $8,770.91	Facility		$2,386.80	$2,386.80	$8,770.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,708.42 / $2,394.54 / $4,895.50	Professional		$1,708.42	$2,394.54	$4,895.50