Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,160.83 / $5,324.00 / $11,996.00	Facility		$2,160.83	$5,324.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,194.19 / $3,009.21 / $7,741.52	Professional		$2,194.19	$3,009.21	$7,741.52
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 $1,982.79 / $2,591.89 / $6,445.70	Professional		$1,982.79	$2,591.89	$6,445.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,562.58 / $3,562.58 / $37,499.62	Facility		$3,562.58	$3,562.58	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,562.58 / $3,562.58 / $3,562.58	Professional		$3,562.58	$3,562.58	$3,562.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,862.89 / $2,862.89 / $7,227.90	Facility		$2,862.89	$2,862.89	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,321.28 / $4,262.93 / $12,516.18	Professional		$2,321.28	$4,262.93	$12,516.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,280.00 / $6,985.08	Facility		$319.00	$3,280.00	$6,985.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,012.30 / $3,349.88 / $5,370.75	Professional		$3,012.30	$3,349.88	$5,370.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,792.99 / $2,901.04 / $4,612.04	Professional		$1,792.99	$2,901.04	$4,612.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,862.89 / $74,999.25	Facility		$597.00	$2,862.89	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,406.64 / $4,275.54 / $11,748.54	Professional		$2,406.64	$4,275.54	$11,748.54
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 $2,490.67 / $3,647.55 / $8,381.84	Professional		$2,490.67	$3,647.55	$8,381.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,901.04 / $2,901.04 / $9,091.86	Facility		$2,901.04	$2,901.04	$9,091.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,792.99 / $3,106.48 / $5,950.24	Professional		$1,792.99	$3,106.48	$5,950.24