Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $778.65 / $995.36 / $1,842.45	Facility		$778.65	$995.36	$1,842.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $778.65 / $1,162.73 / $1,442.00	Professional		$778.65	$1,162.73	$1,442.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,287.23 / $2,332.96 / $4,574.46	Facility		$2,287.23	$2,332.96	$4,574.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,339.39 / $1,339.39 / $3,626.84	Professional		$1,339.39	$1,339.39	$3,626.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,772.20 / $1,905.59 / $1,905.59	Facility		$1,772.20	$1,905.59	$1,905.59
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,905.59 / $1,905.59 / $1,905.59	Professional		$1,905.59	$1,905.59	$1,905.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,499.97 / $1,499.97 / $1,499.97	Facility		$1,499.97	$1,499.97	$1,499.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.98 / $1,094.98 / $1,499.97	Professional		$1,094.98	$1,094.98	$1,499.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,287.23 / $5,146.27	Facility		$319.00	$2,287.23	$5,146.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,181.06 / $1,715.42 / $4,117.01	Professional		$1,181.06	$1,715.42	$4,117.01
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,388.75 / $1,388.75 / $1,388.75	Facility		$1,388.75	$1,388.75	$1,388.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,375.10 / $1,388.75 / $1,666.50	Professional		$1,375.10	$1,388.75	$1,666.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,499.97 / $2,287.23	Facility		$597.00	$1,499.97	$2,287.23
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,094.98 / $1,362.67 / $3,407.97	Professional		$1,094.98	$1,362.67	$3,407.97
United Facility/Professional Professional Modifier Low / Median / High Price $760.72 / $1,236.16 / $2,091.96	Professional		$760.72	$1,236.16	$2,091.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,375.10 / $1,375.10 / $1,428.09	Facility		$1,375.10	$1,375.10	$1,428.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,375.10 / $1,375.10 / $1,461.05	Professional		$1,375.10	$1,375.10	$1,461.05