Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.17 / $992.19 / $1,836.60	Facility		$776.17	$992.19	$1,836.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.17 / $1,173.34 / $1,437.42	Professional		$776.17	$1,173.34	$1,437.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,279.96 / $2,325.57 / $4,559.93	Facility		$2,279.96	$2,325.57	$4,559.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,271.10 / $1,271.10 / $3,533.58	Professional		$1,271.10	$1,271.10	$3,533.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,766.57 / $1,899.54 / $1,899.54	Facility		$1,766.57	$1,899.54	$1,899.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,899.54 / $1,899.54 / $1,899.54	Professional		$1,899.54	$1,899.54	$1,899.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,327.28 / $1,327.28 / $1,327.28	Facility		$1,327.28	$1,327.28	$1,327.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $968.91 / $968.91 / $1,327.28	Professional		$968.91	$968.91	$1,327.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,279.96 / $5,129.93	Facility		$319.00	$2,279.96	$5,129.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.90 / $1,709.98 / $4,103.95	Professional		$1,230.90	$1,709.98	$4,103.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,538.63 / $1,538.63 / $1,538.63	Facility		$1,538.63	$1,538.63	$1,538.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,370.72 / $1,456.39 / $1,846.36	Professional		$1,370.72	$1,456.39	$1,846.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,327.28 / $2,279.96	Facility		$597.00	$1,327.28	$2,279.96
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $968.91 / $1,327.28 / $3,397.16	Professional		$968.91	$1,327.28	$3,397.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,832.16 / $2,832.16 / $2,832.16	Facility		$2,832.16	$2,832.16	$2,832.16
United Facility/Professional Professional Modifier Low / Median / High Price $758.30 / $1,148.01 / $2,085.33	Professional		$758.30	$1,148.01	$2,085.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,370.72 / $1,370.72 / $1,523.40	Facility		$1,370.72	$1,370.72	$1,523.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,370.72 / $1,370.72 / $1,538.63	Professional		$1,370.72	$1,370.72	$1,538.63