Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $839.50 / $1,073.14 / $1,986.43	Facility		$839.50	$1,073.14	$1,986.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $839.50 / $1,073.14 / $1,554.69	Professional		$839.50	$1,073.14	$1,554.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,465.98 / $2,515.30 / $4,931.96	Facility		$2,465.98	$2,515.30	$4,931.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,130.53 / $1,130.53 / $3,602.17	Professional		$1,130.53	$1,130.53	$3,602.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,910.69 / $2,054.51 / $2,054.51	Facility		$1,910.69	$2,054.51	$2,054.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,054.51 / $2,054.51 / $2,054.51	Professional		$2,054.51	$2,054.51	$2,054.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,172.51 / $1,172.51 / $1,172.51	Facility		$1,172.51	$1,172.51	$1,172.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $855.93 / $855.93 / $1,172.51	Professional		$855.93	$855.93	$1,172.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,465.98 / $5,548.46	Facility		$319.00	$2,465.98	$5,548.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,273.34 / $1,849.49 / $4,438.76	Professional		$1,273.34	$1,849.49	$4,438.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,570.05 / $1,570.05 / $1,570.05	Facility		$1,570.05	$1,570.05	$1,570.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,482.55 / $1,570.05 / $1,884.06	Professional		$1,482.55	$1,570.05	$1,884.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,172.51 / $2,465.98	Facility		$597.00	$1,172.51	$2,465.98
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $855.93 / $1,172.51 / $2,933.94	Professional		$855.93	$1,172.51	$2,933.94
United Facility/Professional Professional Modifier Low / Median / High Price $820.16 / $1,248.18 / $2,125.48	Professional		$820.16	$1,248.18	$2,125.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,482.55 / $1,482.55 / $1,540.64	Facility		$1,482.55	$1,482.55	$1,540.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,482.55 / $1,482.55 / $1,575.21	Professional		$1,482.55	$1,482.55	$1,575.21