Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,550.42 / $4,452.00 / $10,686.00	Facility		$1,550.42	$4,452.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,166.77 / $1,438.97 / $3,469.02	Professional		$1,166.77	$1,438.97	$3,469.02
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 $916.84 / $1,198.49 / $3,004.85	Professional		$916.84	$1,198.49	$3,004.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,786.17 / $1,990.00 / $8,917.50	Facility		$1,786.17	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,786.17 / $1,786.17 / $1,786.17	Professional		$1,786.17	$1,786.17	$1,786.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,432.52 / $1,432.52 / $1,432.52	Facility		$1,432.52	$1,432.52	$1,432.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,199.91 / $1,981.36 / $5,351.72	Professional		$1,199.91	$1,981.36	$5,351.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,685.00 / $3,360.85	Facility		$332.00	$1,685.00	$3,360.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,374.23 / $1,950.09 / $2,882.86	Professional		$1,374.23	$1,950.09	$2,882.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,180.09 / $1,180.09 / $1,180.09	Facility		$1,180.09	$1,180.09	$1,180.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,031.78 / $1,462.55 / $2,656.48	Professional		$1,031.78	$1,462.55	$2,656.48
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 $1,285.06 / $1,981.36 / $5,048.08	Professional		$1,285.06	$1,981.36	$5,048.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $7,395.00 / $18,242.15	Facility		$2,337.00	$7,395.00	$18,242.15
United Facility/Professional Professional Modifier Low / Median / High Price $1,129.61 / $1,735.59 / $3,907.11	Professional		$1,129.61	$1,735.59	$3,907.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,462.55 / $1,462.55 / $5,546.56	Facility		$1,462.55	$1,462.55	$5,546.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,052.18 / $1,618.15 / $3,183.28	Professional		$1,052.18	$1,618.15	$3,183.28