Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,419.16 / $1,645.41 / $3,689.82	Facility		$1,419.16	$1,645.41	$3,689.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,419.16 / $1,707.11 / $1,748.25	Professional		$1,419.16	$1,707.11	$1,748.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $641.87 / $641.87 / $802.34	Facility		$641.87	$641.87	$802.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,587.01 / $1,713.97 / $1,713.97	Professional		$1,587.01	$1,713.97	$1,713.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,040.15 / $2,040.15 / $2,040.15	Facility		$2,040.15	$2,040.15	$2,040.15
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,040.15 / $2,040.15 / $2,040.15	Professional		$2,040.15	$2,040.15	$2,040.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,606.12 / $1,654.30 / $1,748.25	Facility		$1,606.12	$1,654.30	$1,748.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Professional		$1,748.25	$1,748.25	$1,748.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $2,832.17	Facility		$1,748.25	$1,748.25	$2,832.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,486.01 / $1,748.25 / $1,748.25	Professional		$1,486.01	$1,748.25	$1,748.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,748.25 / $1,816.81 / $1,816.81	Facility		$1,748.25	$1,816.81	$1,816.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $1,816.81 / $1,816.81	Professional		$1,748.25	$1,816.81	$1,816.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,654.30 / $1,748.25	Facility		$597.00	$1,654.30	$1,748.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Professional		$1,748.25	$1,748.25	$1,748.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,713.97 / $1,713.97 / $2,313.59	Professional		$1,713.97	$1,713.97	$2,313.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $840.48 / $1,748.25 / $1,748.25	Facility		$840.48	$1,748.25	$1,748.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $840.48 / $1,748.25 / $1,816.81	Professional		$840.48	$1,748.25	$1,816.81