Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,165.71 / $5,228.00 / $11,996.00	Facility		$2,165.71	$5,228.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,165.71 / $2,744.01 / $7,473.68	Professional		$2,165.71	$2,744.01	$7,473.68
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 $1,804.40 / $2,358.69 / $5,762.19	Professional		$1,804.40	$2,358.69	$5,762.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,020.57 / $3,020.57 / $37,499.62	Facility		$3,020.57	$3,020.57	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,020.57 / $3,020.57 / $3,020.57	Professional		$3,020.57	$3,020.57	$3,020.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,499.94 / $2,499.94 / $7,227.90	Facility		$2,499.94	$2,499.94	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,151.25 / $3,719.51 / $11,416.26	Professional		$2,151.25	$3,719.51	$11,416.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,677.92 / $7,360.00	Facility		$319.00	$3,677.92	$7,360.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,634.37 / $2,914.20 / $4,758.57	Professional		$2,634.37	$2,914.20	$4,758.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,748.71 / $2,497.57 / $3,970.61	Professional		$1,748.71	$2,497.57	$3,970.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,499.94 / $74,999.25	Facility		$597.00	$2,499.94	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,205.42 / $4,095.59 / $11,052.56	Professional		$2,205.42	$4,095.59	$11,052.56
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 $2,087.09 / $3,072.51 / $7,001.69	Professional		$2,087.09	$3,072.51	$7,001.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,497.57 / $2,497.57 / $9,194.59	Facility		$2,497.57	$2,497.57	$9,194.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,778.22 / $2,674.44 / $5,122.70	Professional		$1,778.22	$2,674.44	$5,122.70