Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,999.58 / $4,827.00 / $10,526.00	Facility		$1,999.58	$4,827.00	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,983.21 / $2,573.17 / $4,483.97	Professional		$1,983.21	$2,573.17	$4,483.97
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 $1,705.92 / $2,229.96 / $5,258.26	Professional		$1,705.92	$2,229.96	$5,258.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,017.82 / $3,017.82 / $10,957.50	Facility		$3,017.82	$3,017.82	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,017.82 / $3,017.82 / $3,017.82	Professional		$3,017.82	$3,017.82	$3,017.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,402.44 / $2,402.44 / $7,227.90	Facility		$2,402.44	$2,402.44	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,625.75 / $3,738.61 / $7,705.61	Professional		$1,625.75	$3,738.61	$7,705.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,556.39 / $5,940.80	Facility		$319.00	$3,556.39	$5,940.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,438.05 / $2,864.87 / $4,287.42	Professional		$2,438.05	$2,864.87	$4,287.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,622.38 / $1,975.77 / $3,891.99	Professional		$1,622.38	$1,975.77	$3,891.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,402.44 / $7,227.90	Facility		$555.00	$2,402.44	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,842.54 / $3,632.69 / $7,764.10	Professional		$1,842.54	$3,632.69	$7,764.10
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 $1,308.94 / $2,438.05 / $6,478.80	Professional		$1,308.94	$2,438.05	$6,478.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,264.53 / $2,264.53 / $7,156.32	Facility		$2,264.53	$2,264.53	$7,156.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,622.38 / $2,384.75 / $5,012.72	Professional		$1,622.38	$2,384.75	$5,012.72