Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,698.05 / $3,291.62 / $5,935.71	Facility		$2,698.05	$3,291.62	$5,935.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $3,264.64	Professional		$2,698.05	$2,698.05	$3,264.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,158.44 / $2,158.44 / $2,698.05	Facility		$2,158.44	$2,158.44	$2,698.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,529.55 / $2,698.05 / $2,898.96	Professional		$2,529.55	$2,698.05	$2,898.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,407.19 / $2,407.19 / $2,527.56	Facility		$2,407.19	$2,407.19	$2,527.56
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,407.19 / $2,407.19 / $2,407.19	Professional		$2,407.19	$2,407.19	$2,407.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,483.66 / $2,545.33 / $2,658.13	Facility		$2,483.66	$2,545.33	$2,658.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $2,698.05	Professional		$2,698.05	$2,698.05	$2,698.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,575.98 / $5,726.99	Facility		$319.00	$2,575.98	$5,726.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,575.98 / $2,575.98 / $3,291.62	Professional		$2,575.98	$2,575.98	$3,291.62
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $2,799.87	Facility		$2,698.05	$2,698.05	$2,799.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,799.87 / $2,799.87	Professional		$2,698.05	$2,799.87	$2,799.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,483.66 / $2,545.33 / $2,698.05	Facility		$2,483.66	$2,545.33	$2,698.05
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $3,054.40	Professional		$2,698.05	$2,698.05	$3,054.40
United Facility/Professional Professional Modifier Low / Median / High Price $2,644.09 / $2,826.29 / $3,615.39	Professional		$2,644.09	$2,826.29	$3,615.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,799.87 / $2,799.87 / $2,799.87	Facility		$2,799.87	$2,799.87	$2,799.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,799.87 / $2,799.87	Professional		$2,698.05	$2,799.87	$2,799.87