Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.39 / $1,243.54 / $155,867.70	Facility		$1,170.39	$1,243.54	$155,867.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,009.46 / $1,170.39 / $1,243.54	Professional		$1,009.46	$1,170.39	$1,243.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,024.20 / $1,024.20 / $1,280.25	Facility		$1,024.20	$1,024.20	$1,280.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,110.31 / $1,219.16 / $1,219.16	Professional		$1,110.31	$1,219.16	$1,219.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,062.50 / $1,062.50 / $1,168.75	Facility		$1,062.50	$1,062.50	$1,168.75
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,062.50 / $1,062.50 / $1,062.50	Professional		$1,062.50	$1,062.50	$1,062.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,116.26 / $1,149.75 / $1,243.54	Facility		$1,116.26	$1,149.75	$1,243.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Professional		$1,243.54	$1,243.54	$1,243.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $2,014.53	Facility		$1,243.54	$1,243.54	$2,014.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,430.07	Professional		$1,243.54	$1,243.54	$1,430.07
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,219.10 / $1,292.31 / $1,292.31	Facility		$1,219.10	$1,292.31	$1,292.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,219.10 / $1,292.31 / $1,292.31	Professional		$1,219.10	$1,292.31	$1,292.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,149.75 / $1,243.54	Facility		$597.00	$1,149.75	$1,243.54
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,803.88	Professional		$1,243.54	$1,243.54	$1,803.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,219.16 / $1,219.16 / $1,708.45	Professional		$1,219.16	$1,219.16	$1,708.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,219.10 / $1,219.10 / $1,219.10	Facility		$1,219.10	$1,219.10	$1,219.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,219.10 / $1,219.10 / $1,292.31	Professional		$1,219.10	$1,219.10	$1,292.31