Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $774.16 / $989.62 / $1,831.83	Facility		$774.16	$989.62	$1,831.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $774.16 / $993.59 / $1,433.69	Professional		$774.16	$993.59	$1,433.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,274.06 / $2,319.54 / $4,548.12	Facility		$2,274.06	$2,319.54	$4,548.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,250.07 / $1,250.07 / $3,504.94	Professional		$1,250.07	$1,250.07	$3,504.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,761.99 / $1,894.61 / $1,894.61	Facility		$1,761.99	$1,894.61	$1,894.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,894.61 / $1,894.61 / $1,894.61	Professional		$1,894.61	$1,894.61	$1,894.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,300.55 / $1,300.55 / $1,300.55	Facility		$1,300.55	$1,300.55	$1,300.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.40 / $949.40 / $1,300.55	Professional		$949.40	$949.40	$1,300.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,274.06 / $5,116.64	Facility		$319.00	$2,274.06	$5,116.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.24 / $1,682.80 / $4,093.31	Professional		$1,174.24	$1,682.80	$4,093.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.30 / $1,449.30 / $1,449.30	Facility		$1,449.30	$1,449.30	$1,449.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,367.16 / $1,449.30 / $1,739.16	Professional		$1,367.16	$1,449.30	$1,739.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,300.55 / $2,274.06	Facility		$597.00	$1,300.55	$2,274.06
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $949.40 / $1,300.55 / $3,524.79	Professional		$949.40	$1,300.55	$3,524.79
United Facility/Professional Professional Modifier Low / Median / High Price $756.33 / $1,134.50 / $2,079.91	Professional		$756.33	$1,134.50	$2,079.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,367.16 / $1,367.16 / $1,449.30	Facility		$1,367.16	$1,367.16	$1,449.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,367.16 / $1,367.16 / $1,452.61	Professional		$1,367.16	$1,367.16	$1,452.61