Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $854.21 / $1,091.94 / $2,021.24	Facility		$854.21	$1,091.94	$2,021.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $854.21 / $1,091.94 / $1,581.93	Professional		$854.21	$1,091.94	$1,581.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,509.19 / $2,559.37 / $5,018.38	Facility		$2,509.19	$2,559.37	$5,018.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,136.98 / $1,136.98 / $3,665.29	Professional		$1,136.98	$1,136.98	$3,665.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,944.18 / $2,090.52 / $2,090.52	Facility		$1,944.18	$2,090.52	$2,090.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,090.52 / $2,090.52 / $2,090.52	Professional		$2,090.52	$2,090.52	$2,090.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,277.46 / $1,277.46 / $1,277.46	Facility		$1,277.46	$1,277.46	$1,277.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $932.55 / $932.55 / $1,277.46	Professional		$932.55	$932.55	$1,277.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,509.19 / $5,645.68	Facility		$319.00	$2,509.19	$5,645.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,420.22 / $1,806.62 / $4,516.54	Professional		$1,420.22	$1,806.62	$4,516.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,775.28 / $1,775.28 / $1,775.28	Facility		$1,775.28	$1,775.28	$1,775.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,508.54 / $1,602.83 / $2,090.52	Professional		$1,508.54	$1,602.83	$2,090.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,277.46 / $2,509.19	Facility		$597.00	$1,277.46	$2,509.19
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $932.55 / $1,277.46 / $3,009.38	Professional		$932.55	$1,277.46	$3,009.38
United Facility/Professional Professional Modifier Low / Median / High Price $834.54 / $1,251.80 / $2,259.17	Professional		$834.54	$1,251.80	$2,259.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,508.54 / $1,508.54 / $1,567.65	Facility		$1,508.54	$1,508.54	$1,567.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,508.54 / $1,508.54 / $1,775.28	Professional		$1,508.54	$1,508.54	$1,775.28