Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $798.95 / $1,478.90	Facility		$625.00	$798.95	$1,478.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.00 / $1,026.68 / $1,157.46	Professional		$625.00	$1,026.68	$1,157.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,835.91 / $1,872.63 / $3,671.82	Facility		$1,835.91	$1,872.63	$3,671.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,086.33 / $1,086.33 / $2,911.17	Professional		$1,086.33	$1,086.33	$2,911.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,422.51 / $1,529.58 / $1,529.58	Facility		$1,422.51	$1,529.58	$1,529.58
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,529.58 / $1,529.58 / $1,529.58	Professional		$1,529.58	$1,529.58	$1,529.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,395.53 / $1,395.53 / $1,395.53	Facility		$1,395.53	$1,395.53	$1,395.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,018.74 / $1,018.74 / $1,395.53	Professional		$1,018.74	$1,018.74	$1,395.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,835.91 / $4,130.80	Facility		$319.00	$1,835.91	$4,130.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $948.01 / $1,376.93 / $3,304.64	Professional		$948.01	$1,376.93	$3,304.64
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $909.00 / $909.00 / $909.00	Facility		$909.00	$909.00	$909.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $909.00 / $1,103.76 / $1,316.53	Professional		$909.00	$1,103.76	$1,316.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,395.53 / $1,835.91	Facility		$597.00	$1,395.53	$1,835.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,018.74 / $1,093.79 / $3,126.09	Professional		$1,018.74	$1,093.79	$3,126.09
United Facility/Professional Professional Modifier Low / Median / High Price $610.61 / $1,038.16 / $1,679.18	Professional		$610.61	$1,038.16	$1,679.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,103.76 / $1,103.76 / $1,147.01	Facility		$1,103.76	$1,103.76	$1,147.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $909.00 / $1,103.76 / $1,172.75	Professional		$909.00	$1,103.76	$1,172.75