Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.13 / $1,028.55 / $1,836.36	Facility		$887.13	$1,028.55	$1,836.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $887.13 / $1,067.11 / $1,092.83	Professional		$887.13	$1,067.11	$1,092.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $908.55 / $908.55 / $1,135.69	Facility		$908.55	$908.55	$1,135.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.87 / $1,071.41 / $1,135.69	Professional		$846.87	$1,071.41	$1,135.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,071.41 / $1,071.41 / $1,178.55	Facility		$1,071.41	$1,071.41	$1,178.55
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,071.41 / $1,071.41 / $1,071.41	Professional		$1,071.41	$1,071.41	$1,071.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $1,204.84	Facility		$1,092.83	$1,092.83	$1,204.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $1,092.83	Professional		$1,092.83	$1,092.83	$1,092.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,092.83 / $2,410.67	Facility		$319.00	$1,092.83	$2,410.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $1,385.54	Professional		$1,092.83	$1,092.83	$1,385.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.41 / $1,071.41 / $1,092.83	Facility		$1,071.41	$1,071.41	$1,092.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.41 / $1,092.83 / $1,092.83	Professional		$1,071.41	$1,092.83	$1,092.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $1,204.84	Facility		$1,092.83	$1,092.83	$1,204.84
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $368.75 / $1,092.83 / $1,092.83	Professional		$368.75	$1,092.83	$1,092.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.41 / $1,122.93 / $1,443.67	Professional		$1,071.41	$1,122.93	$1,443.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $1,092.83	Facility		$1,092.83	$1,092.83	$1,092.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,071.41 / $1,092.83 / $1,092.83	Professional		$1,071.41	$1,092.83	$1,092.83