Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.45 / $1,059.02 / $1,960.30	Facility		$828.45	$1,059.02	$1,960.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.45 / $1,207.90 / $1,577.03	Professional		$828.45	$1,207.90	$1,577.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,433.53 / $2,482.19 / $4,867.06	Facility		$2,433.53	$2,482.19	$4,867.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,482.13 / $1,482.13 / $3,949.87	Professional		$1,482.13	$1,482.13	$3,949.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,885.56 / $2,027.48 / $2,027.48	Facility		$1,885.56	$2,027.48	$2,027.48
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,027.48 / $2,027.48 / $2,027.48	Professional		$2,027.48	$2,027.48	$2,027.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,638.80 / $1,638.80 / $1,638.80	Facility		$1,638.80	$1,638.80	$1,638.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,196.32 / $1,196.32 / $1,638.80	Professional		$1,196.32	$1,196.32	$1,638.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,433.53 / $5,475.44	Facility		$319.00	$2,433.53	$5,475.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,256.58 / $1,825.15 / $4,380.35	Professional		$1,256.58	$1,825.15	$4,380.35
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,333.20 / $1,333.20 / $1,333.20	Facility		$1,333.20	$1,333.20	$1,333.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,333.20 / $1,463.05 / $1,745.07	Professional		$1,333.20	$1,463.05	$1,745.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,638.80 / $2,433.53	Facility		$597.00	$1,638.80	$2,433.53
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,196.32 / $1,449.83 / $3,771.97	Professional		$1,196.32	$1,449.83	$3,771.97
United Facility/Professional Facility Modifier Low / Median / High Price $1.94 / $1,203.23 / $1,203.23	Facility		$1.94	$1,203.23	$1,203.23
United Facility/Professional Professional Modifier Low / Median / High Price $809.37 / $1,315.23 / $2,225.77	Professional		$809.37	$1,315.23	$2,225.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,463.05 / $1,463.05 / $1,520.38	Facility		$1,463.05	$1,463.05	$1,520.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,333.20 / $1,463.05 / $1,554.48	Professional		$1,333.20	$1,463.05	$1,554.48