Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $799.91 / $1,022.53 / $1,892.75	Facility		$799.91	$1,022.53	$1,892.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $799.91 / $1,125.11 / $1,481.37	Professional		$799.91	$1,125.11	$1,481.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,349.67 / $2,396.67 / $4,699.35	Facility		$2,349.67	$2,396.67	$4,699.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,176.26 / $1,176.26 / $3,587.02	Professional		$1,176.26	$1,176.26	$3,587.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,820.59 / $1,957.62 / $1,957.62	Facility		$1,820.59	$1,957.62	$1,957.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,957.62 / $1,957.62 / $1,957.62	Professional		$1,957.62	$1,957.62	$1,957.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,206.80 / $1,206.80 / $1,206.80	Facility		$1,206.80	$1,206.80	$1,206.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.96 / $880.96 / $1,206.80	Professional		$880.96	$880.96	$1,206.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,349.67 / $5,286.78	Facility		$319.00	$2,349.67	$5,286.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,213.30 / $1,762.26 / $4,229.42	Professional		$1,213.30	$1,762.26	$4,229.42
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,121.09 / $1,121.09 / $1,121.09	Facility		$1,121.09	$1,121.09	$1,121.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,121.09 / $1,412.64 / $1,684.94	Professional		$1,121.09	$1,412.64	$1,684.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,206.80 / $2,349.67	Facility		$597.00	$1,206.80	$2,349.67
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $880.96 / $1,206.80 / $3,501.02	Professional		$880.96	$1,206.80	$3,501.02
United Facility/Professional Professional Modifier Low / Median / High Price $781.48 / $1,207.39 / $2,114.71	Professional		$781.48	$1,207.39	$2,114.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,412.64 / $1,412.64 / $1,467.99	Facility		$1,412.64	$1,412.64	$1,467.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,121.09 / $1,412.64 / $1,500.92	Professional		$1,121.09	$1,412.64	$1,500.92