Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,508.00 / $3,783.00 / $10,170.00	Facility		$1,508.00	$3,783.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,183.57 / $1,477.34 / $2,848.23	Professional		$1,183.57	$1,477.34	$2,848.23
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 $965.83 / $1,262.53 / $2,984.47	Professional		$965.83	$1,262.53	$2,984.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,254.00 / $1,834.43 / $4,050.00	Facility		$1,254.00	$1,834.43	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,834.43 / $1,834.43 / $1,834.43	Professional		$1,834.43	$1,834.43	$1,834.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,470.59 / $1,470.59 / $1,470.59	Facility		$1,470.59	$1,470.59	$1,470.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,167.90 / $1,989.28 / $5,497.43	Professional		$1,167.90	$1,989.28	$5,497.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,125.00 / $3,446.26	Facility		$332.00	$1,125.00	$3,446.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,409.52 / $1,999.69 / $2,956.12	Professional		$1,409.52	$1,999.69	$2,956.12
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,210.41 / $1,210.41 / $1,210.41	Facility		$1,210.41	$1,210.41	$1,210.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,050.08 / $1,500.72 / $2,725.81	Professional		$1,050.08	$1,500.72	$2,725.81
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 $1,258.67 / $2,024.46 / $5,344.19	Professional		$1,258.67	$2,024.46	$5,344.19
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 $1,160.38 / $1,805.03 / $4,010.16	Professional		$1,160.38	$1,805.03	$4,010.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,500.72 / $1,500.72 / $6,049.18	Facility		$1,500.72	$1,500.72	$6,049.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,050.08 / $1,659.72 / $3,266.35	Professional		$1,050.08	$1,659.72	$3,266.35