Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,429.89 / $2,977.65 / $5,369.54	Facility		$2,429.89	$2,977.65	$5,369.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $2,842.97	Professional		$2,429.89	$2,429.89	$2,842.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,943.91 / $1,943.91 / $2,429.89	Facility		$1,943.91	$1,943.91	$2,429.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,283.73 / $2,429.89 / $2,521.58	Professional		$2,283.73	$2,429.89	$2,521.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,129.15 / $2,129.15 / $2,235.61	Facility		$2,129.15	$2,129.15	$2,235.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,129.15 / $2,129.15 / $2,129.15	Professional		$2,129.15	$2,129.15	$2,129.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,146.19 / $2,292.35 / $2,503.21	Facility		$2,146.19	$2,292.35	$2,503.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $2,636.82	Professional		$2,429.89	$2,429.89	$2,636.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,341.61 / $5,157.79	Facility		$319.00	$2,341.61	$5,157.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,341.61 / $2,341.61 / $2,974.42	Professional		$2,341.61	$2,341.61	$2,974.42
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $2,521.59	Facility		$2,429.89	$2,429.89	$2,521.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,521.59 / $2,521.59	Professional		$2,429.89	$2,521.59	$2,521.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,146.19 / $2,292.35 / $2,503.21	Facility		$2,146.19	$2,292.35	$2,503.21
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $2,968.87	Professional		$2,429.89	$2,429.89	$2,968.87
United Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,546.73 / $3,256.05	Professional		$2,429.89	$2,546.73	$3,256.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,521.59 / $2,521.59 / $2,521.59	Facility		$2,521.59	$2,521.59	$2,521.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,521.59 / $2,521.59	Professional		$2,429.89	$2,521.59	$2,521.59