Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $667.25 / $852.96 / $1,578.87	Facility		$667.25	$852.96	$1,578.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $667.25 / $852.96 / $1,235.71	Professional		$667.25	$852.96	$1,235.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,960.01 / $1,999.21 / $3,920.02	Facility		$1,960.01	$1,999.21	$3,920.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,079.00 / $1,079.00 / $3,021.20	Professional		$1,079.00	$1,079.00	$3,021.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,518.67 / $1,632.98 / $1,632.98	Facility		$1,518.67	$1,632.98	$1,632.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,632.98 / $1,632.98 / $1,632.98	Professional		$1,632.98	$1,632.98	$1,632.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,107.01 / $1,107.01 / $1,107.01	Facility		$1,107.01	$1,107.01	$1,107.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.12 / $1,107.01 / $1,609.82	Professional		$808.12	$1,107.01	$1,609.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,960.01 / $4,410.02	Facility		$319.00	$1,960.01	$4,410.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,156.41 / $1,470.01 / $3,528.02	Professional		$1,156.41	$1,470.01	$3,528.02
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,486.20 / $1,486.20 / $1,486.20	Facility		$1,486.20	$1,486.20	$1,486.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,178.36 / $1,252.02 / $1,632.98	Professional		$1,178.36	$1,252.02	$1,632.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,107.01 / $1,960.01	Facility		$597.00	$1,107.01	$1,960.01
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $808.12 / $1,167.72 / $2,331.96	Professional		$808.12	$1,167.72	$2,331.96
United Facility/Professional Professional Modifier Low / Median / High Price $651.89 / $1,017.58 / $1,771.62	Professional		$651.89	$1,017.58	$1,771.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,178.36 / $1,178.36 / $1,224.54	Facility		$1,178.36	$1,178.36	$1,224.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,178.36 / $1,178.36 / $1,486.20	Professional		$1,178.36	$1,178.36	$1,486.20