Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,317.61 / $5,845.00 / $14,113.00	Facility		$1,317.61	$5,845.00	$14,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $940.89 / $1,202.92 / $2,568.86	Professional		$940.89	$1,202.92	$2,568.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $808.65 / $1,057.06 / $2,461.58	Professional		$808.65	$1,057.06	$2,461.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,421.24 / $3,478.50 / $13,477.50	Facility		$1,421.24	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,421.24 / $1,421.24 / $1,421.24	Professional		$1,421.24	$1,421.24	$1,421.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,116.96 / $1,116.96 / $10,297.11	Facility		$1,116.96	$1,116.96	$10,297.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $774.04 / $1,788.09 / $3,629.08	Professional		$774.04	$1,788.09	$3,629.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,545.00 / $2,560.67	Facility		$332.00	$1,545.00	$2,560.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,138.08 / $1,334.87 / $1,997.70	Professional		$1,138.08	$1,334.87	$1,997.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $768.18 / $1,057.86 / $1,818.14	Professional		$768.18	$1,057.86	$1,818.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,116.96 / $10,297.11	Facility		$555.00	$1,116.96	$10,297.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $876.51 / $1,731.62 / $3,665.09	Professional		$876.51	$1,731.62	$3,665.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,742.00	Facility		$2,337.00	$6,450.00	$12,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,228.90 / $2,792.63	Professional		$616.60	$1,228.90	$2,792.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,057.86 / $1,057.86 / $3,413.58	Facility		$1,057.86	$1,057.86	$3,413.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $768.18 / $1,152.35 / $2,341.69	Professional		$768.18	$1,152.35	$2,341.69