Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,692.89 / $5,224.00 / $11,396.00	Facility		$1,692.89	$5,224.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,082.80 / $1,530.35 / $3,108.75	Professional		$1,082.80	$1,530.35	$3,108.75
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 $973.89 / $1,273.06 / $2,950.43	Professional		$973.89	$1,273.06	$2,950.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,936.62 / $2,644.00 / $12,319.50	Facility		$1,936.62	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,936.62 / $1,936.62 / $1,936.62	Professional		$1,936.62	$1,936.62	$1,936.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.69 / $1,548.69 / $2,203.26	Facility		$1,548.69	$1,548.69	$2,203.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,027.43 / $1,664.06 / $3,821.39	Professional		$1,027.43	$1,664.06	$3,821.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,443.97 / $3,493.71	Facility		$332.00	$1,443.97	$3,493.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,515.94 / $1,850.36 / $2,887.94	Professional		$1,515.94	$1,850.36	$2,887.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $655.96 / $1,276.10 / $2,556.80	Professional		$655.96	$1,276.10	$2,556.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,548.69 / $74,999.25	Facility		$555.00	$1,548.69	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,123.10 / $1,679.55 / $3,499.36	Professional		$1,123.10	$1,679.55	$3,499.36
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 $1,094.86 / $1,485.33 / $3,229.04	Professional		$1,094.86	$1,485.33	$3,229.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,889.43 / $1,889.43 / $3,705.79	Facility		$1,889.43	$1,889.43	$3,705.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $655.96 / $1,739.67 / $3,472.66	Professional		$655.96	$1,739.67	$3,472.66