Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,482.55 / $4,760.22 / $11,396.00	Facility		$1,482.55	$4,760.22	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,140.96 / $1,398.21 / $2,923.76	Professional		$1,140.96	$1,398.21	$2,923.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,279.00 / $11,909.00	Facility		$3,283.00	$5,279.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,070.59 / $1,399.48 / $3,152.87	Professional		$1,070.59	$1,399.48	$3,152.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,821.37 / $1,821.37 / $37,499.62	Facility		$1,821.37	$1,821.37	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,821.37 / $1,821.37 / $1,821.37	Professional		$1,821.37	$1,821.37	$1,821.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,504.93 / $1,504.93 / $1,504.93	Facility		$1,504.93	$1,504.93	$1,504.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,254.79 / $2,015.62 / $6,053.64	Professional		$1,254.79	$2,015.62	$6,053.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,705.00 / $3,729.13	Facility		$332.00	$1,705.00	$3,729.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,449.63 / $2,085.67 / $3,198.76	Professional		$1,449.63	$2,085.67	$3,198.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,218.88 / $1,218.88 / $1,218.88	Facility		$1,218.88	$1,218.88	$1,218.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,009.35 / $1,514.22 / $2,750.33	Professional		$1,009.35	$1,514.22	$2,750.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $49,110.00	Facility		$555.00	$597.00	$49,110.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,307.11 / $1,989.15 / $5,705.27	Professional		$1,307.11	$1,989.15	$5,705.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,603.00	Facility		$1,749.00	$4,194.00	$9,603.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,132.15 / $1,812.04 / $4,400.96	Professional		$1,132.15	$1,812.04	$4,400.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,514.22 / $1,514.22 / $5,286.75	Facility		$1,514.22	$1,514.22	$5,286.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,060.21 / $1,671.33 / $3,295.74	Professional		$1,060.21	$1,671.33	$3,295.74