Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $734.82 / $939.33 / $1,738.76	Facility		$734.82	$939.33	$1,738.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $734.82 / $939.33 / $1,360.85	Professional		$734.82	$939.33	$1,360.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,158.52 / $2,201.69 / $4,317.04	Facility		$2,158.52	$2,201.69	$4,317.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,069.65 / $1,069.65 / $3,262.43	Professional		$1,069.65	$1,069.65	$3,262.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,672.47 / $1,798.35 / $1,798.35	Facility		$1,672.47	$1,798.35	$1,798.35
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,798.35 / $1,798.35 / $1,798.35	Professional		$1,798.35	$1,798.35	$1,798.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,108.41 / $1,108.41 / $1,108.41	Facility		$1,108.41	$1,108.41	$1,108.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $809.14 / $809.14 / $1,108.41	Professional		$809.14	$809.14	$1,108.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,158.52 / $4,856.67	Facility		$319.00	$2,158.52	$4,856.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,165.33 / $1,554.13 / $3,885.34	Professional		$1,165.33	$1,554.13	$3,885.34
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,456.66 / $1,456.66 / $1,456.66	Facility		$1,456.66	$1,456.66	$1,456.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,297.70 / $1,378.81 / $1,747.99	Professional		$1,297.70	$1,378.81	$1,747.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,108.41 / $2,158.52	Facility		$597.00	$1,108.41	$2,158.52
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $809.14 / $1,108.41 / $2,945.63	Professional		$809.14	$1,108.41	$2,945.63
United Facility/Professional Professional Modifier Low / Median / High Price $717.90 / $1,076.85 / $1,974.24	Professional		$717.90	$1,076.85	$1,974.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,297.70 / $1,297.70 / $1,442.24	Facility		$1,297.70	$1,297.70	$1,442.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,297.70 / $1,297.70 / $1,456.66	Professional		$1,297.70	$1,297.70	$1,456.66