Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $730.02 / $933.21 / $1,727.41	Facility		$730.02	$933.21	$1,727.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $730.02 / $1,044.79 / $1,351.97	Professional		$730.02	$1,044.79	$1,351.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,144.42 / $2,187.31 / $4,288.84	Facility		$2,144.42	$2,187.31	$4,288.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,247.18 / $1,247.18 / $3,400.33	Professional		$1,247.18	$1,247.18	$3,400.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,661.55 / $1,786.61 / $1,786.61	Facility		$1,661.55	$1,786.61	$1,786.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,786.61 / $1,786.61 / $1,786.61	Professional		$1,786.61	$1,786.61	$1,786.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,304.10 / $1,304.10 / $1,304.10	Facility		$1,304.10	$1,304.10	$1,304.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $952.00 / $952.00 / $1,304.10	Professional		$952.00	$952.00	$1,304.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,144.42 / $4,824.95	Facility		$319.00	$2,144.42	$4,824.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,157.73 / $1,608.32 / $3,859.96	Professional		$1,157.73	$1,608.32	$3,859.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,447.16 / $1,447.16 / $1,447.16	Facility		$1,447.16	$1,447.16	$1,447.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,289.22 / $1,369.80 / $1,736.59	Professional		$1,289.22	$1,369.80	$1,736.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,304.10 / $2,144.42	Facility		$597.00	$1,304.10	$2,144.42
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $952.00 / $1,304.10 / $3,181.41	Professional		$952.00	$1,304.10	$3,181.41
United Facility/Professional Professional Modifier Low / Median / High Price $713.22 / $1,128.19 / $1,965.98	Professional		$713.22	$1,128.19	$1,965.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,289.22 / $1,289.22 / $1,432.83	Facility		$1,289.22	$1,289.22	$1,432.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,289.22 / $1,289.22 / $1,447.16	Professional		$1,289.22	$1,289.22	$1,447.16