Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,857.07 / $1,857.07 / $60,956.12	Facility		$1,857.07	$1,857.07	$60,956.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,857.06 / $1,857.07 / $6,632.40	Professional		$1,857.06	$1,857.07	$6,632.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.90 / $575.90 / $719.87	Facility		$575.90	$575.90	$719.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,820.66 / $1,820.66 / $1,820.66	Professional		$1,820.66	$1,820.66	$1,820.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,537.33 / $1,537.33 / $1,537.33	Facility		$1,537.33	$1,537.33	$1,537.33
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,537.33 / $1,537.33 / $1,537.33	Professional		$1,537.33	$1,537.33	$1,537.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,814.87 / $1,869.32 / $2,039.14	Facility		$1,814.87	$1,869.32	$2,039.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,039.14 / $2,039.14 / $2,039.14	Professional		$2,039.14	$2,039.14	$2,039.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,856.48 / $2,970.37	Facility		$319.00	$1,856.48	$2,970.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,345.78 / $1,856.48 / $1,856.48	Professional		$1,345.78	$1,856.48	$1,856.48
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,804.91 / $1,804.91 / $1,804.91	Facility		$1,804.91	$1,804.91	$1,804.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,804.91 / $1,804.91 / $1,959.61	Professional		$1,804.91	$1,804.91	$1,959.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,869.32 / $2,039.14	Facility		$597.00	$1,869.32	$2,039.14
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $2,039.14	Professional		$35.00	$35.00	$2,039.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,875.28 / $2,123.77 / $2,838.44	Professional		$1,875.28	$2,123.77	$2,838.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $848.50 / $1,804.91 / $1,804.91	Facility		$848.50	$1,804.91	$1,804.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $848.50 / $1,263.98 / $1,959.61	Professional		$848.50	$1,263.98	$1,959.61