Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,677.92 / $1,987.00 / $3,678.02	Facility		$1,677.92	$1,987.00	$3,678.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,677.92 / $2,093.14 / $2,878.62	Professional		$1,677.92	$2,093.14	$2,878.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,565.92 / $4,657.24 / $9,131.84	Facility		$4,565.92	$4,657.24	$9,131.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,776.59 / $2,776.59 / $7,399.61	Professional		$2,776.59	$2,776.59	$7,399.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,537.79 / $3,804.08 / $3,804.08	Facility		$3,537.79	$3,804.08	$3,804.08
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,804.08 / $3,804.08 / $3,804.08	Professional		$3,804.08	$3,804.08	$3,804.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,853.06 / $2,853.06 / $2,853.06	Facility		$2,853.06	$2,853.06	$2,853.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,082.73 / $2,082.73 / $2,853.06	Professional		$2,082.73	$2,082.73	$2,853.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,565.92 / $10,273.32	Facility		$319.00	$4,565.92	$10,273.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,357.69 / $3,424.44 / $8,218.66	Professional		$2,357.69	$3,424.44	$8,218.66
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,171.50 / $2,171.50 / $2,171.50	Facility		$2,171.50	$2,171.50	$2,171.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,171.50 / $2,745.06 / $3,274.21	Professional		$2,171.50	$2,745.06	$3,274.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,853.06 / $4,565.92	Facility		$597.00	$2,853.06	$4,565.92
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,082.73 / $2,720.25 / $6,803.22	Professional		$2,082.73	$2,720.25	$6,803.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,518.59 / $2,739.55 / $4,565.92	Professional		$1,518.59	$2,739.55	$4,565.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,745.06 / $2,745.06 / $2,852.63	Facility		$2,745.06	$2,745.06	$2,852.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,171.50 / $2,745.06 / $2,916.63	Professional		$2,171.50	$2,745.06	$2,916.63