Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,164.00 / $11,396.00	Facility		$1,819.00	$5,164.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.72 / $2,107.46 / $3,675.19	Professional		$1,659.72	$2,107.46	$3,675.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,268.00 / $12,869.00	Facility		$4,100.00	$7,268.00	$12,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,419.49 / $1,855.55 / $4,314.30	Professional		$1,419.49	$1,855.55	$4,314.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,476.26 / $2,476.26 / $37,499.62	Facility		$2,476.26	$2,476.26	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,476.26 / $2,476.26 / $2,476.26	Professional		$2,476.26	$2,476.26	$2,476.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,977.22 / $1,977.22 / $39,142.00	Facility		$1,977.22	$1,977.22	$39,142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,356.48 / $3,171.22 / $6,362.05	Professional		$1,356.48	$3,171.22	$6,362.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,959.00 / $5,280.00	Facility		$319.00	$2,959.00	$5,280.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,025.06 / $2,444.75 / $3,526.62	Professional		$2,025.06	$2,444.75	$3,526.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,300.14 / $1,859.35 / $3,195.63	Professional		$1,300.14	$1,859.35	$3,195.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,977.22 / $39,142.00	Facility		$597.00	$1,977.22	$39,142.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,564.20 / $3,011.53 / $6,400.39	Professional		$1,564.20	$3,011.53	$6,400.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,083.08 / $2,148.06 / $4,907.10	Professional		$1,083.08	$2,148.06	$4,907.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,859.35 / $1,859.35 / $6,008.66	Facility		$1,859.35	$1,859.35	$6,008.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,300.14 / $1,961.58 / $4,115.84	Professional		$1,300.14	$1,961.58	$4,115.84