Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,455.00 / $8,494.20 / $15,246.00	Facility		$4,455.00	$8,494.20	$15,246.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,915.00 / $4,290.00 / $7,260.00	Professional		$2,915.00	$4,290.00	$7,260.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,445.00 / $5,445.00 / $14,157.00	Facility		$5,445.00	$5,445.00	$14,157.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $11,906.40	Professional		$2,200.00	$2,200.00	$11,906.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,300.00 / $5,500.00 / $5,500.00	Facility		$3,300.00	$5,500.00	$5,500.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,015.00 / $5,500.00 / $5,500.00	Professional		$4,015.00	$5,500.00	$5,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,600.00 / $11,618.75 / $14,271.91	Facility		$6,600.00	$11,618.75	$14,271.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,413.86 / $7,370.29 / $17,757.48	Professional		$3,413.86	$7,370.29	$17,757.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $7,078.50 / $12,251.25	Facility		$319.00	$7,078.50	$12,251.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,811.50 / $5,680.77 / $9,964.35	Professional		$3,811.50	$5,680.77	$9,964.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,675.00 / $5,445.00 / $9,973.11	Professional		$4,675.00	$5,445.00	$9,973.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $13,419.01 / $14,271.91	Facility		$254.50	$13,419.01	$14,271.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,422.49 / $7,024.05 / $16,335.00	Professional		$3,422.49	$7,024.05	$16,335.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,310.00 / $3,267.00 / $8,335.69	Professional		$2,310.00	$3,267.00	$8,335.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $5,830.01 / $5,830.01 / $7,662.92	Facility		$5,830.01	$5,830.01	$7,662.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $4,675.00 / $5,703.27 / $7,893.28	Professional		$4,675.00	$5,703.27	$7,893.28