Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $792.31 / $1,012.81 / $1,874.76	Facility		$792.31	$1,012.81	$1,874.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $792.31 / $1,012.81 / $1,467.29	Professional		$792.31	$1,012.81	$1,467.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,327.35 / $2,373.90 / $4,654.70	Facility		$2,327.35	$2,373.90	$4,654.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.64 / $1,148.64 / $3,503.35	Professional		$1,148.64	$1,148.64	$3,503.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,803.28 / $1,939.01 / $1,939.01	Facility		$1,803.28	$1,939.01	$1,939.01
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,939.01 / $1,939.01 / $1,939.01	Professional		$1,939.01	$1,939.01	$1,939.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.09 / $1,207.09 / $1,207.09	Facility		$1,207.09	$1,207.09	$1,207.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.18 / $881.18 / $1,207.09	Professional		$881.18	$881.18	$1,207.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,327.35 / $5,236.54	Facility		$319.00	$2,327.35	$5,236.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,201.77 / $1,745.51 / $4,189.22	Professional		$1,201.77	$1,745.51	$4,189.22
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,212.00 / $1,212.00 / $1,212.00	Facility		$1,212.00	$1,212.00	$1,212.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,212.00 / $1,399.21 / $1,668.92	Professional		$1,212.00	$1,399.21	$1,668.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,207.09 / $2,327.35	Facility		$597.00	$1,207.09	$2,327.35
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $881.18 / $1,207.09 / $2,799.38	Professional		$881.18	$1,207.09	$2,799.38
United Facility/Professional Professional Modifier Low / Median / High Price $774.06 / $1,161.08 / $2,013.77	Professional		$774.06	$1,161.08	$2,013.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,399.21 / $1,399.21 / $1,454.04	Facility		$1,399.21	$1,399.21	$1,454.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,212.00 / $1,399.21 / $1,486.66	Professional		$1,212.00	$1,399.21	$1,486.66