Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,323.35 / $1,734.76 / $3,028.94	Facility		$1,323.35	$1,734.76	$3,028.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $1,597.08	Professional		$1,323.35	$1,323.35	$1,597.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,058.68 / $1,058.68 / $1,323.35	Facility		$1,058.68	$1,058.68	$1,323.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $2,254.61	Professional		$1,323.35	$1,323.35	$2,254.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,435.66 / $1,435.66 / $1,507.44	Facility		$1,435.66	$1,435.66	$1,507.44
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,435.66 / $1,435.66 / $1,435.66	Professional		$1,435.66	$1,435.66	$1,435.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,248.44 / $1,444.55 / $1,495.47	Facility		$1,248.44	$1,444.55	$1,495.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $1,687.20	Professional		$1,323.35	$1,323.35	$1,687.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,373.28 / $2,808.99	Facility		$319.00	$1,373.28	$2,808.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,373.28 / $1,373.28 / $1,667.42	Professional		$1,373.28	$1,373.28	$1,667.42
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $1,348.31	Facility		$1,323.35	$1,323.35	$1,348.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,348.31 / $1,348.31	Professional		$1,323.35	$1,348.31	$1,348.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,248.44 / $1,444.55 / $1,495.47	Facility		$1,248.44	$1,444.55	$1,495.47
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $1,825.09	Professional		$1,323.35	$1,323.35	$1,825.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,402.75 / $2,030.55	Professional		$1,323.35	$1,402.75	$2,030.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,348.31 / $1,348.31 / $1,348.31	Facility		$1,348.31	$1,348.31	$1,348.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,348.31 / $1,348.31	Professional		$1,323.35	$1,348.31	$1,348.31