Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,004.63 / $1,284.23 / $2,377.17	Facility		$1,004.63	$1,284.23	$2,377.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,004.63 / $1,532.66 / $1,860.50	Professional		$1,004.63	$1,532.66	$1,860.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.03 / $3,010.05 / $5,902.06	Facility		$2,951.03	$3,010.05	$5,902.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,718.05 / $1,718.05 / $4,679.41	Professional		$1,718.05	$1,718.05	$4,679.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,286.54 / $2,458.64 / $2,458.64	Facility		$2,286.54	$2,458.64	$2,458.64
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,458.64 / $2,458.64 / $2,458.64	Professional		$2,458.64	$2,458.64	$2,458.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,815.81 / $1,815.81 / $1,815.81	Facility		$1,815.81	$1,815.81	$1,815.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,325.54 / $1,325.54 / $1,815.81	Professional		$1,325.54	$1,325.54	$1,815.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,951.03 / $6,639.82	Facility		$319.00	$2,951.03	$6,639.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,616.00 / $2,213.27 / $5,311.85	Professional		$1,616.00	$2,213.27	$5,311.85
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $2,020.00 / $2,020.00	Facility		$2,020.00	$2,020.00	$2,020.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,774.19 / $1,885.07 / $2,424.00	Professional		$1,774.19	$1,885.07	$2,424.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,815.81 / $2,951.03	Facility		$597.00	$1,815.81	$2,951.03
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,325.54 / $1,758.14 / $4,397.03	Professional		$1,325.54	$1,758.14	$4,397.03
United Facility/Professional Professional Modifier Low / Median / High Price $981.49 / $1,675.51 / $2,905.95	Professional		$981.49	$1,675.51	$2,905.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,774.19 / $1,774.19 / $1,843.70	Facility		$1,774.19	$1,774.19	$1,843.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,774.19 / $1,774.19 / $2,020.00	Professional		$1,774.19	$1,774.19	$2,020.00