Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,732.35 / $5,324.00 / $11,691.00	Facility		$1,732.35	$5,324.00	$11,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,162.16 / $1,637.54 / $3,554.05	Professional		$1,162.16	$1,637.54	$3,554.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,217.00 / $5,196.00 / $11,909.00	Facility		$3,217.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,072.69 / $1,402.21 / $3,094.70	Professional		$1,072.69	$1,402.21	$3,094.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,949.35 / $2,644.00 / $12,319.50	Facility		$1,949.35	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,949.35 / $1,949.35 / $1,949.35	Professional		$1,949.35	$1,949.35	$1,949.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,543.54 / $1,543.54 / $2,203.26	Facility		$1,543.54	$1,543.54	$2,203.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,100.56 / $1,712.55 / $3,831.94	Professional		$1,100.56	$1,712.55	$3,831.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,410.00 / $3,468.58	Facility		$332.00	$1,410.00	$3,468.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $900.40 / $1,421.44 / $2,666.95	Professional		$900.40	$1,421.44	$2,666.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $713.69 / $1,283.22 / $2,543.39	Professional		$713.69	$1,283.22	$2,543.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,543.54 / $74,999.25	Facility		$555.00	$1,543.54	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,139.69 / $1,754.50 / $3,831.94	Professional		$1,139.69	$1,754.50	$3,831.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,063.00 / $5,191.00 / $11,098.00	Facility		$2,063.00	$5,191.00	$11,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,139.69 / $1,511.61 / $3,156.65	Professional		$1,139.69	$1,511.61	$3,156.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,879.51 / $1,879.51 / $4,089.54	Facility		$1,879.51	$1,879.51	$4,089.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $713.69 / $1,739.67 / $3,494.74	Professional		$713.69	$1,739.67	$3,494.74