Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.62 / $876.43 / $1,622.31	Facility		$685.62	$876.43	$1,622.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.62 / $1,136.02 / $1,305.11	Professional		$685.62	$1,136.02	$1,305.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,013.95 / $2,054.23 / $4,027.90	Facility		$2,013.95	$2,054.23	$4,027.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,226.58 / $1,226.58 / $3,268.86	Professional		$1,226.58	$1,226.58	$3,268.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,560.46 / $1,677.91 / $1,677.91	Facility		$1,560.46	$1,677.91	$1,677.91
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,677.91 / $1,677.91 / $1,677.91	Professional		$1,677.91	$1,677.91	$1,677.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,544.16 / $1,544.16 / $1,544.16	Facility		$1,544.16	$1,544.16	$1,544.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,127.24 / $1,127.24 / $1,544.16	Professional		$1,127.24	$1,127.24	$1,544.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,013.95 / $4,531.39	Facility		$319.00	$2,013.95	$4,531.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,039.94 / $1,510.46 / $3,625.11	Professional		$1,039.94	$1,510.46	$3,625.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $999.90 / $999.90 / $999.90	Facility		$999.90	$999.90	$999.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $999.90 / $1,210.80 / $1,444.19	Professional		$999.90	$1,210.80	$1,444.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,544.16 / $2,013.95	Facility		$597.00	$1,544.16	$2,013.95
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,127.24 / $1,199.84 / $3,000.79	Professional		$1,127.24	$1,199.84	$3,000.79
United Facility/Professional Professional Modifier Low / Median / High Price $669.82 / $1,115.45 / $1,842.02	Professional		$669.82	$1,115.45	$1,842.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,210.80 / $1,210.80 / $1,258.24	Facility		$1,210.80	$1,210.80	$1,258.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $999.90 / $1,210.80 / $1,286.48	Professional		$999.90	$1,210.80	$1,286.48