Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $5,324.00 / $11,996.00	Facility		$2,303.00	$5,324.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,545.51 / $3,411.42 / $9,125.90	Professional		$2,545.51	$3,411.42	$9,125.90
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 $2,202.25 / $2,878.77 / $7,029.83	Professional		$2,202.25	$2,878.77	$7,029.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,681.58 / $3,681.58 / $37,499.62	Facility		$3,681.58	$3,681.58	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,681.58 / $3,681.58 / $3,681.58	Professional		$3,681.58	$3,681.58	$3,681.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,046.28 / $3,046.28 / $7,227.90	Facility		$3,046.28	$3,046.28	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,533.03 / $4,522.72 / $13,697.13	Professional		$2,533.03	$4,522.72	$13,697.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,040.00 / $7,529.74	Facility		$319.00	$4,040.00	$7,529.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,199.34 / $3,536.96 / $5,789.53	Professional		$3,199.34	$3,536.96	$5,789.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,032.44 / $3,033.91 / $4,823.26	Professional		$2,032.44	$3,033.91	$4,823.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,046.28 / $74,999.25	Facility		$597.00	$3,046.28	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,633.23 / $4,986.35 / $12,835.70	Professional		$2,633.23	$4,986.35	$12,835.70
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 $2,641.88 / $4,060.33 / $10,137.25	Professional		$2,641.88	$4,060.33	$10,137.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,033.91 / $3,033.91 / $8,485.92	Facility		$3,033.91	$3,033.91	$8,485.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,032.44 / $3,248.76 / $6,222.76	Professional		$2,032.44	$3,248.76	$6,222.76