Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $4,392.00 / $10,296.00	Facility		$1,819.00	$4,392.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,773.84 / $2,277.89 / $4,827.62	Professional		$1,773.84	$2,277.89	$4,827.62
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 $1,532.88 / $2,003.77 / $4,658.47	Professional		$1,532.88	$2,003.77	$4,658.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,678.86 / $2,678.86 / $12,319.50	Facility		$2,678.86	$2,678.86	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,678.86 / $2,678.86 / $2,678.86	Professional		$2,678.86	$2,678.86	$2,678.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,132.46 / $2,132.46 / $7,227.90	Facility		$2,132.46	$2,132.46	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,466.66 / $3,358.86 / $6,876.46	Professional		$1,466.66	$3,358.86	$6,876.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,153.87 / $5,545.60	Facility		$319.00	$3,153.87	$5,545.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,161.19 / $2,540.62 / $3,802.17	Professional		$2,161.19	$2,540.62	$3,802.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,457.47 / $1,752.15 / $3,449.45	Professional		$1,457.47	$1,752.15	$3,449.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,132.46 / $7,227.90	Facility		$555.00	$2,132.46	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,647.36 / $3,244.56 / $6,893.04	Professional		$1,647.36	$3,244.56	$6,893.04
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 $1,176.60 / $2,386.78 / $5,314.56	Professional		$1,176.60	$2,386.78	$5,314.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,007.03 / $2,007.03 / $6,331.15	Facility		$2,007.03	$2,007.03	$6,331.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,457.47 / $2,193.23 / $4,442.75	Professional		$1,457.47	$2,193.23	$4,442.75