Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,475.49 / $4,648.00 / $10,965.00	Facility		$1,475.49	$4,648.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,240.23 / $1,563.63 / $4,911.18	Professional		$1,240.23	$1,563.63	$4,911.18
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 $1,048.65 / $1,370.79 / $3,346.52	Professional		$1,048.65	$1,370.79	$3,346.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,765.84 / $1,765.84 / $37,499.62	Facility		$1,765.84	$1,765.84	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,765.84 / $1,765.84 / $1,765.84	Professional		$1,765.84	$1,765.84	$1,765.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,460.63 / $1,460.63 / $7,227.90	Facility		$1,460.63	$1,460.63	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,252.89 / $2,158.48 / $6,677.70	Professional		$1,252.89	$2,158.48	$6,677.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,121.62 / $3,656.00	Facility		$319.00	$2,121.62	$3,656.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,543.55 / $1,961.85 / $7,043.35	Professional		$1,543.55	$1,961.85	$7,043.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $993.29 / $1,464.46 / $2,328.19	Professional		$993.29	$1,464.46	$2,328.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,460.63 / $74,999.25	Facility		$597.00	$1,460.63	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,285.97 / $2,396.02 / $6,486.68	Professional		$1,285.97	$2,396.02	$6,486.68
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 $1,237.60 / $1,882.41 / $4,293.53	Professional		$1,237.60	$1,882.41	$4,293.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,464.46 / $1,464.46 / $5,004.47	Facility		$1,464.46	$1,464.46	$5,004.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $993.29 / $1,470.25 / $3,003.72	Professional		$993.29	$1,470.25	$3,003.72