Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,044.14 / $1,273.84 / $2,088.28	Facility		$1,044.14	$1,273.84	$2,088.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,409.59	Professional		$1,045.15	$1,045.15	$1,409.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $836.12 / $836.12 / $1,045.15	Facility		$836.12	$836.12	$1,045.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,019.46 / $1,045.15 / $1,231.31	Professional		$1,019.46	$1,045.15	$1,231.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,022.45 / $1,022.45 / $1,073.57	Facility		$1,022.45	$1,022.45	$1,073.57
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,022.45 / $1,022.45 / $1,022.45	Professional		$1,022.45	$1,022.45	$1,022.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $985.99 / $985.99 / $1,337.86	Facility		$985.99	$985.99	$1,337.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,045.15	Professional		$1,045.15	$1,045.15	$1,045.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,133.89 / $2,218.48	Facility		$319.00	$1,133.89	$2,218.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,133.89 / $1,133.89 / $1,679.04	Professional		$1,133.89	$1,133.89	$1,679.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,084.58	Facility		$1,045.15	$1,045.15	$1,084.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,084.58	Professional		$1,045.15	$1,045.15	$1,084.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $985.99 / $1,337.86	Facility		$597.00	$985.99	$1,337.86
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,322.52	Professional		$1,045.15	$1,045.15	$1,322.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,584.00	Professional		$1,045.15	$1,045.15	$1,584.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,084.58 / $1,084.58 / $1,084.58	Facility		$1,084.58	$1,084.58	$1,084.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,084.58	Professional		$1,045.15	$1,045.15	$1,084.58