Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,952.00 / $7,028.00 / $15,563.00	Facility		$2,952.00	$7,028.00	$15,563.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,626.00 / $7,257.00 / $19,741.00	Professional		$2,626.00	$7,257.00	$19,741.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,661.00 / $13,152.00 / $27,864.00	Facility		$4,661.00	$13,152.00	$27,864.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $647.26 / $761.49 / $1,334.00	Professional		$647.26	$761.49	$1,334.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $423.81 / $423.81 / $423.81	Facility		$423.81	$423.81	$423.81
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $423.81 / $423.81 / $423.81	Professional		$423.81	$423.81	$423.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,210.00 / $33,708.00 / $40,612.00	Facility		$10,210.00	$33,708.00	$40,612.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.51 / $1,326.80 / $1,326.80	Professional		$372.51	$1,326.80	$1,326.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6,429.00 / $15,064.00 / $19,048.00	Facility		$6,429.00	$15,064.00	$19,048.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,630.05 / $5,630.05 / $5,630.05	Professional		$5,630.05	$5,630.05	$5,630.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.20 / $404.62 / $529.96	Professional		$232.20	$404.62	$529.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $23,708.00 / $40,612.00	Facility		$555.00	$23,708.00	$40,612.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $254.80 / $376.61 / $836.13	Professional		$254.80	$376.61	$836.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $13,693.00	Facility		$2,337.00	$6,450.00	$13,693.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.77 / $367.76 / $706.24	Professional		$251.77	$367.76	$706.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $393.10 / $393.10 / $393.10	Facility		$393.10	$393.10	$393.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $232.20 / $420.00 / $602.36	Professional		$232.20	$420.00	$602.36