Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.92 / $1,055.79 / $1,954.31	Facility		$825.92	$1,055.79	$1,954.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $825.92 / $1,055.79 / $1,529.55	Professional		$825.92	$1,055.79	$1,529.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,426.09 / $2,474.61 / $4,852.18	Facility		$2,426.09	$2,474.61	$4,852.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,137.16 / $1,137.16 / $3,543.91	Professional		$1,137.16	$1,137.16	$3,543.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,879.79 / $2,021.28 / $2,021.28	Facility		$1,879.79	$2,021.28	$2,021.28
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,021.28 / $2,021.28 / $2,021.28	Professional		$2,021.28	$2,021.28	$2,021.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,179.41 / $1,179.41 / $1,179.41	Facility		$1,179.41	$1,179.41	$1,179.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $860.97 / $860.97 / $1,179.41	Professional		$860.97	$860.97	$1,179.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,426.09 / $5,458.70	Facility		$319.00	$2,426.09	$5,458.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,252.76 / $1,746.78 / $4,366.96	Professional		$1,252.76	$1,746.78	$4,366.96
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 / $1,458.59 / $1,739.75	Professional		$1,121.09	$1,458.59	$1,739.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,179.41 / $2,426.09	Facility		$597.00	$1,179.41	$2,426.09
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $860.97 / $1,179.41 / $2,886.49	Professional		$860.97	$1,179.41	$2,886.49
United Facility/Professional Professional Modifier Low / Median / High Price $806.90 / $1,210.34 / $2,218.98	Professional		$806.90	$1,210.34	$2,218.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,458.59 / $1,458.59 / $1,515.70	Facility		$1,458.59	$1,458.59	$1,515.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,121.09 / $1,458.59 / $1,549.75	Professional		$1,121.09	$1,458.59	$1,549.75