Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,609.94 / $4,574.00 / $10,686.00	Facility		$1,609.94	$4,574.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,221.58 / $1,506.39 / $2,902.36	Professional		$1,221.58	$1,506.39	$2,902.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,046.00 / $7,264.00 / $12,538.00	Facility		$4,046.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $984.79 / $1,287.31 / $3,138.17	Professional		$984.79	$1,287.31	$3,138.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,869.39 / $1,990.00 / $8,917.50	Facility		$1,869.39	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,869.39 / $1,869.39 / $1,869.39	Professional		$1,869.39	$1,869.39	$1,869.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,498.38 / $1,498.38 / $1,498.38	Facility		$1,498.38	$1,498.38	$1,498.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,241.13 / $2,028.68 / $5,608.12	Professional		$1,241.13	$2,028.68	$5,608.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,685.00 / $3,512.72	Facility		$332.00	$1,685.00	$3,512.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,436.81 / $2,038.30 / $3,013.14	Professional		$1,436.81	$2,038.30	$3,013.14
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,233.84 / $1,233.84 / $1,233.84	Facility		$1,233.84	$1,233.84	$1,233.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,074.59 / $1,299.83 / $2,777.58	Professional		$1,074.59	$1,299.83	$2,777.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $36,596.00	Facility		$555.00	$597.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,345.29 / $2,055.35 / $5,235.93	Professional		$1,345.29	$2,055.35	$5,235.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $15,611.00	Facility		$2,264.00	$5,963.00	$15,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,182.56 / $1,830.24 / $4,151.64	Professional		$1,182.56	$1,830.24	$4,151.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,529.22 / $1,529.22 / $5,560.87	Facility		$1,529.22	$1,529.22	$5,560.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,074.59 / $1,600.98 / $3,328.39	Professional		$1,074.59	$1,600.98	$3,328.39