Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,326.37 / $2,326.37 / $2,326.37	Facility		$2,326.37	$2,326.37	$2,326.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,326.37 / $2,326.37 / $2,326.37	Professional		$2,326.37	$2,326.37	$2,326.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.33 / $88.33 / $110.41	Facility		$88.33	$88.33	$110.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,182.57 / $2,280.76 / $2,280.76	Professional		$2,182.57	$2,280.76	$2,280.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,892.54 / $1,892.54 / $1,892.54	Facility		$1,892.54	$1,892.54	$1,892.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,892.54 / $1,892.54 / $1,892.54	Professional		$1,892.54	$1,892.54	$1,892.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,183.23 / $2,248.73 / $2,554.44	Facility		$2,183.23	$2,248.73	$2,554.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,554.44 / $2,554.44 / $2,554.44	Professional		$2,554.44	$2,554.44	$2,554.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,463.21 / $2,463.21 / $3,990.42	Facility		$2,463.21	$2,463.21	$3,990.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,093.73 / $2,093.73 / $2,093.73	Professional		$2,093.73	$2,093.73	$2,093.73
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,280.76 / $2,280.76 / $2,326.37	Facility		$2,280.76	$2,280.76	$2,326.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,280.76 / $2,280.76 / $2,326.37	Professional		$2,280.76	$2,280.76	$2,326.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,248.73 / $2,554.44	Facility		$597.00	$2,248.73	$2,554.44
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $2,554.44	Professional		$35.00	$35.00	$2,554.44
United Facility/Professional Professional Modifier Low / Median / High Price $2,349.17 / $2,736.91 / $3,415.19	Professional		$2,349.17	$2,736.91	$3,415.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $133.00 / $2,326.37 / $2,326.37	Facility		$133.00	$2,326.37	$2,326.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $159.60 / $2,326.37	Professional		$133.00	$159.60	$2,326.37