Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.08 / $801.61 / $1,483.81	Facility		$627.08	$801.61	$1,483.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.08 / $847.34 / $1,161.31	Professional		$627.08	$847.34	$1,161.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,842.00 / $1,878.84 / $3,684.00	Facility		$1,842.00	$1,878.84	$3,684.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,095.47 / $1,095.47 / $2,920.83	Professional		$1,095.47	$1,095.47	$2,920.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,427.23 / $1,534.66 / $1,534.66	Facility		$1,427.23	$1,534.66	$1,534.66
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,534.66 / $1,534.66 / $1,534.66	Professional		$1,534.66	$1,534.66	$1,534.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,186.93 / $1,186.93 / $1,186.93	Facility		$1,186.93	$1,186.93	$1,186.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $866.46 / $866.46 / $1,186.93	Professional		$866.46	$866.46	$1,186.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,842.00 / $4,144.50	Facility		$319.00	$1,842.00	$4,144.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $951.16 / $1,381.50 / $3,315.60	Professional		$951.16	$1,381.50	$3,315.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,118.78 / $1,118.78 / $1,118.78	Facility		$1,118.78	$1,118.78	$1,118.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,107.42 / $1,118.78 / $1,342.54	Professional		$1,107.42	$1,118.78	$1,342.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,186.93 / $1,842.00	Facility		$597.00	$1,186.93	$1,842.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $866.46 / $1,097.42 / $2,658.75	Professional		$866.46	$1,097.42	$2,658.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,193.78 / $1,193.78 / $1,193.78	Facility		$1,193.78	$1,193.78	$1,193.78
United Facility/Professional Professional Modifier Low / Median / High Price $612.64 / $968.16 / $1,684.76	Professional		$612.64	$968.16	$1,684.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,107.42 / $1,107.42 / $1,150.82	Facility		$1,107.42	$1,107.42	$1,150.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,107.42 / $1,107.42 / $1,176.64	Professional		$1,107.42	$1,107.42	$1,176.64