Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $775.38 / $991.18 / $1,834.72	Facility		$775.38	$991.18	$1,834.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $775.38 / $1,105.63 / $1,435.95	Professional		$775.38	$1,105.63	$1,435.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,277.63 / $2,323.17 / $4,555.26	Facility		$2,277.63	$2,323.17	$4,555.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,387.19 / $1,387.19 / $3,696.86	Professional		$1,387.19	$1,387.19	$3,696.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,764.76 / $1,897.59 / $1,897.59	Facility		$1,764.76	$1,897.59	$1,897.59
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,897.59 / $1,897.59 / $1,897.59	Professional		$1,897.59	$1,897.59	$1,897.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,703.99 / $1,703.99 / $1,703.99	Facility		$1,703.99	$1,703.99	$1,703.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.91 / $1,243.91 / $1,703.99	Professional		$1,243.91	$1,243.91	$1,703.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,277.63 / $5,124.67	Facility		$319.00	$2,277.63	$5,124.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,176.09 / $1,708.22 / $4,099.72	Professional		$1,176.09	$1,708.22	$4,099.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,249.88 / $1,249.88 / $1,249.88	Facility		$1,249.88	$1,249.88	$1,249.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,249.88 / $1,369.32 / $1,633.28	Professional		$1,249.88	$1,369.32	$1,633.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,703.99 / $2,277.63	Facility		$597.00	$1,703.99	$2,277.63
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,243.91 / $1,356.95 / $3,393.67	Professional		$1,243.91	$1,356.95	$3,393.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,520.62 / $1,520.62 / $1,520.62	Facility		$1,520.62	$1,520.62	$1,520.62
United Facility/Professional Professional Modifier Low / Median / High Price $757.52 / $1,230.98 / $2,083.19	Professional		$757.52	$1,230.98	$2,083.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,369.32 / $1,369.32 / $1,422.98	Facility		$1,369.32	$1,369.32	$1,422.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,249.88 / $1,369.32 / $1,454.90	Professional		$1,249.88	$1,369.32	$1,454.90