Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $4,910.00 / $11,396.00	Facility		$1,819.00	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,518.30 / $1,920.39 / $3,793.98	Professional		$1,518.30	$1,920.39	$3,793.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,760.00 / $10,017.00 / $17,122.00	Facility		$4,760.00	$10,017.00	$17,122.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,073.21 / $2,591.52 / $4,303.43	Professional		$2,073.21	$2,591.52	$4,303.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,374.09 / $2,374.09 / $37,499.62	Facility		$2,374.09	$2,374.09	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,374.09 / $2,374.09 / $2,374.09	Professional		$2,374.09	$2,374.09	$2,374.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,963.51 / $1,963.51 / $1,963.51	Facility		$1,963.51	$1,963.51	$1,963.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,670.46 / $2,587.78 / $7,941.04	Professional		$1,670.46	$2,587.78	$7,941.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,112.00 / $15,064.00	Facility		$332.00	$3,112.00	$15,064.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,884.48 / $2,699.89 / $4,171.89	Professional		$1,884.48	$2,699.89	$4,171.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,582.29 / $1,582.29 / $1,582.29	Facility		$1,582.29	$1,582.29	$1,582.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,260.58 / $1,965.76 / $3,570.48	Professional		$1,260.58	$1,965.76	$3,570.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $37,776.00	Facility		$555.00	$597.00	$37,776.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,727.78 / $2,558.37 / $7,693.00	Professional		$1,727.78	$2,558.37	$7,693.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,859.00	Facility		$1,749.00	$4,194.00	$9,859.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,490.57 / $2,321.56 / $5,786.64	Professional		$1,490.57	$2,321.56	$5,786.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,965.76 / $1,965.76 / $6,697.03	Facility		$1,965.76	$1,965.76	$6,697.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,260.58 / $2,169.64 / $4,278.52	Professional		$1,260.58	$2,169.64	$4,278.52