Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $804.89 / $1,028.91 / $1,904.56	Facility		$804.89	$1,028.91	$1,904.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $804.89 / $1,192.90 / $1,490.61	Professional		$804.89	$1,192.90	$1,490.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,364.33 / $2,411.62 / $4,728.66	Facility		$2,364.33	$2,411.62	$4,728.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,480.00 / $1,480.00 / $3,936.60	Professional		$1,480.00	$1,480.00	$3,936.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,831.94 / $1,969.83 / $1,969.83	Facility		$1,831.94	$1,969.83	$1,969.83
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,969.83 / $1,969.83 / $1,969.83	Professional		$1,969.83	$1,969.83	$1,969.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,549.06 / $1,549.06 / $1,549.06	Facility		$1,549.06	$1,549.06	$1,549.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,130.81 / $1,130.81 / $1,549.06	Professional		$1,130.81	$1,130.81	$1,549.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,364.33 / $5,319.74	Facility		$319.00	$2,364.33	$5,319.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,220.85 / $1,773.25 / $4,255.79	Professional		$1,220.85	$1,773.25	$4,255.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,494.80 / $1,494.80 / $1,494.80	Facility		$1,494.80	$1,494.80	$1,494.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,421.45 / $1,494.80 / $1,793.76	Professional		$1,421.45	$1,494.80	$1,793.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,549.06 / $2,364.33	Facility		$597.00	$1,549.06	$2,364.33
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,130.81 / $1,408.60 / $3,522.85	Professional		$1,130.81	$1,408.60	$3,522.85
United Facility/Professional Professional Modifier Low / Median / High Price $786.36 / $1,266.19 / $2,162.48	Professional		$786.36	$1,266.19	$2,162.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,421.45 / $1,421.45 / $1,477.15	Facility		$1,421.45	$1,421.45	$1,477.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,421.45 / $1,421.45 / $1,510.29	Professional		$1,421.45	$1,421.45	$1,510.29